Jeralyn Gambone Romano, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA003042L Issued in PA

Practice address

3839 Kratz Rd
Collegeville, PA 19426-1030

Phone

(610) 489-4878

Fax

(610) 489-4878

NPI assigned

Feb 17, 2006

Last updated

Feb 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeralyn Maria Gambone Other name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1194790816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461259",
            "telephone_number": "215-368-2100",
            "fax_number": "215-361-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 KRATZ RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261030",
            "telephone_number": "610-489-4878",
            "fax_number": "610-489-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JERALYN",
        "middle_name": "GAMBONE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003042L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERALYN",
            "last_name": "GAMBONE",
            "middle_name": "MARIA",
            "credential": "PA C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah E Robbins, CRNP
• Samantha Xiaohan Roberto
• Kayla Beth Roberts
• Jessica Allison Robinson, PHARMD
• Roger C. Tolley, D.D.S., P.C.
• Michele Denise Romano, PTA
• Patricia M Romano
• Gina L Rose, MD
• Anita Ross, DROT, OTR/L
• Johnanthony Rossi, ATC

• Physician Assistant in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.