Individual provider Active NPI

Samuel Romirowsky, PH.D.

  • Forensic Psychologist
  • Newark, DE
National Provider Identifier
1215091939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
B10000330 Issued in DE
Practice address
52 Omega Dr
Suite F
Newark, DE 19713-2062
Phone
(302) 737-7090
Fax
(302) 737-7430
NPI assigned
Dec 20, 2006
Sex
Male
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
Forensic Psychologist 103TF0200X B10000330 DE Primary

Addresses

Primary practice location

52 Omega Dr
Suite F
Newark, DE 19713-2062

Mailing address

F52 Omega Dr
Newark, DE 19713-2062
Phone (302) 737-7090

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B10000330DEMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215091939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F52 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132062",
            "telephone_number": "302-737-7090",
            "fax_number": "302-737-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 OMEGA DR",
            "address_2": "SUITE F",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132062",
            "telephone_number": "302-737-7090",
            "fax_number": "302-737-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMIROWSKY",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "DE",
            "license": "B10000330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.