Individual provider Active NPI

Jonathan J. Romak, MD

  • Otolaryngology Physician
  • Newark, DE
National Provider Identifier
1114239407
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C1-0011549 Issued in DE
Practice address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone
(302) 998-0300
Fax
(302) 998-5111
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C1-0011549 DE Primary

Addresses

Primary practice location

700 Prides Xing Ste 200
Newark, DE 19713-6109

Mailing address

700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000049 DE Practitioner - Otolaryngology 7810169414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Connecticut School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy of Delaware LLCGroup PAC ID 2264613504, 42 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
89.33
Promoting interoperability
100
Improvement activities
40
Cost
75.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0011549DEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy of Delaware LLC CurrentSince Sep 1, 2016 Accepting new patients

Locations

700 Prides Xing
Ste 200
Newark, DE 19713

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

1011 Centre Rd
Ste 200
Wilmington, DE 19805

1941 Limestone Rd
Ste 210
Wilmington, DE 19808
Phone (302) 992-9617

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1114239407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300",
            "fax_number": "302-999-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300",
            "fax_number": "302-998-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAK",
        "first_name": "JONATHAN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C1-0011549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.