NPIMap

Organization Active NPI

Rome Medical Practice PC

  • Orthopaedic Surgery Physician
  • Rome, NY
National Provider Identifier
1184640708
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1990091 Issued in NY
Legal business name
ROME MEDICAL PRACTICE PC
Practice address
267 Avery Lane, Suite 300
Rome, NY 13441
Phone
(315) 338-7636
Fax
(315) 356-4982
NPI assigned
Jul 15, 2006
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER ROME AFFILIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Lisa Taurisano
Title
Administrator
Phone
(315) 338-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1990091 NY Primary

Addresses

Primary practice location

267 Avery Lane, Suite 300
Rome, NY 13441

Mailing address

267 Avery Lane, Suite 300
Rome, NY 13441
Phone (315) 338-7636

Other identifiers 1

IdentifierTypeStateIssuer
02735037MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060216000443 NY Part B Supplier - Clinic/Group Practice 1456366145 Receives reassigned benefits from 11 practitioners
Practice locations: Oneida, NY; Rome, NY

National Provider Directory

National Provider Directory

Locations

357 Genesee St
Ofc
Oneida, NY 13421

1617 N James St
Ste 700A
Rome, NY 13440
Phone (315) 337-0202

267 Avery Ln
Ste 300
Rome, NY 13441
Phone (315) 338-7015

7900 Turin Rd
Ste 2
Rome, NY 13440
Phone (315) 338-7284

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1184640708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 AVERY LANE, SUITE 300",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13441",
            "telephone_number": "315-338-7636",
            "fax_number": "315-356-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 AVERY LANE, SUITE 300",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13441",
            "telephone_number": "315-338-7636",
            "fax_number": "315-356-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME MEDICAL PRACTICE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER ROME AFFILIATES, INC.",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "TAURISANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-338-7636"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1990091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02735037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.