Individual provider Active NPI

Joan Ellen Romboli, ARNP

  • Family Nurse Practitioner
  • Londonderry, NH
National Provider Identifier
1134260607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
031738-23-03 Issued in NH
Practice address
1 Commons Dr
Ste 24
Londonderry, NH 03053-3467
Phone
(603) 425-6494
Fax
(603) 425-2048
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 031738-23-03 NH Primary

Addresses

Primary practice location

1 Commons Dr
Ste 24
Londonderry, NH 03053-3467

Mailing address

94 Robert Hall Rd
Manchester, NH 03103-7737
Phone (603) 235-1934

Other identifiers 4

IdentifierTypeStateIssuer
539030OtherNHCIGNA
30341803MedicaidNH
713165OtherNHHARVARD PILGRIM
8300027OtherNHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000895 NH Practitioner - Nurse Practitioner 4688606890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Landmark Family HealthcareGroup PAC ID 8729012661, 4 clinicians

Practice addresses (Care Compare)

50 Nashua Rd
Suite 301
Londonderry, NH 03053-3444
Phone (603) 425-6494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Family Healthcare CurrentSince Jan 23, 1999 Accepting new patients
Donna M. Eyssi, LLC Past Accepting new patients

Locations

50 Nashua Rd
Ste 301
Londonderry, NH 03053
Phone (603) 425-6494

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBAAA

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134260607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ROBERT HALL RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037737",
            "telephone_number": "603-235-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "address_2": "STE 24",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533467",
            "telephone_number": "603-425-6494",
            "fax_number": "603-425-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBOLI",
        "first_name": "JOAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "031738-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "539030",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341803",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "713165",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8300027",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.