Dr. Andrew L. Romano D.O. LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB078548 Issued in NJ

Legal business name

DR. ANDREW L. ROMANO D.O. LLC

Practice address

703 Mill Creek Rd
Suite D
Manahawkin, NJ 08050-3828

Phone

(609) 549-6787

NPI assigned

May 24, 2011

Last updated

Apr 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Leonard Romano, D.O.NPI 1033153689

Title

Owner

Phone

(609) 207-8939

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Andrew Romano, DO

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1033153689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1235422288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD",
            "address_2": "SUITE D",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-549-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD",
            "address_2": "SUITE D",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-549-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREW L. ROMANO D.O. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-207-8939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB078548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094897",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PTAN P00738361",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Dolan, PA-C
• Dominick Cringoli
• Kristen Nicole Donadio, MSW
• Karen M Dorfman
• Jonathan J Dorn, OD
• Neil Gregory Dreizen, M.D.
• Elena Rios Drudy, M.D.
• Eastern Dental of Manahawkin, LLC
• Keely Elizabeth Eckberg, FNP
• Miriam Edelstein, MA, MT-BC

• Internal Medicine Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.