Individual provider Active NPI

Mary Romeyn, M.D.

  • Internal Medicine Physician
  • Harwich, MA
National Provider Identifier
1205941275
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
261335 Issued in MA
Practice address
61 Continental Dr
Harwich, MA 02645-2139
Phone
(415) 254-4682
NPI assigned
Aug 20, 2006
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 261335 MA Primary

Addresses

Primary practice location

61 Continental Dr
Harwich, MA 02645-2139

Mailing address

PO Box 1303
Harwich, MA 02645-6303
Phone (415) 254-4682

Other identifiers 1

IdentifierTypeStateIssuer
00G0069882MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261335MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1205941275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026456303",
            "telephone_number": "415-254-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CONTINENTAL DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452139",
            "telephone_number": "415-254-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEYN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "261335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G0069882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.