Individual provider Active NPI

Zachary Thomas Romanello

  • Physical Therapist
  • Dobbs Ferry, NY
National Provider Identifier
1104395086
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone
(914) 693-2665
NPI assigned
Nov 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

128 Ashford Ave
Dobbs Ferry, NY 10522-1924

Mailing address

160 E 56TH St
New York, NY 10022-3609
Phone (212) 355-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210000313 NY Practitioner - Physical Therapist in Private Practice 2668716259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1874 Route 6
Carmel, NY 10512-2355
Phone (845) 704-8331

1880 Route 6
Carmel, NY 10512-2355
Phone (845) 704-8331

2 Victory CT
Newburgh, NY 12550-1745
Phone (845) 522-5480

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1880 Route 6
Carmel, NY 10512
Phone (845) 228-5800

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

160 E 56th St
New York, NY 10022
Phone (212) 355-7287

411 Theodore Fremd Ave
Rye, NY 10580
Phone (914) 921-6061

411 Theodore Fremd Ave
Ste 104
Rye, NY 10580
Phone (914) 921-6061

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1104395086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223609",
            "telephone_number": "212-355-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ASHFORD AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221924",
            "telephone_number": "914-693-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLO",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.