Active NPI
John Romanelli, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1245299908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158432
- Practice address
- 554 Henry St
Brooklyn, NY 11231-2745 - Phone
- (718) 625-5453
- Fax
- (718) 858-2778
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 158432 | NY | Primary |
Addresses
Primary practice location
554 Henry St
Brooklyn, NY 11231-2745
Mailing address
554 Henry St
Brooklyn, NY 11231-2745
Phone (718) 625-5453
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112837814 | Other | NY | 1199 |
| 112837814 | Other | NY | AMERICAN POSTAL |
| 112837814 | Other | NY | MAILHANDLER |
| 112837814 | Other | NY | NATIONAL RURAL LETTER |
| 112837814 | Other | NY | BLUE CROSS BLUE SHIELD |
| 112837814 | Other | NY | AETNA |
| 112837814 | Other | NY | DGA |
| 112831814 | Other | NY | UNICARE MAJOR |
| 158432 | Other | NY | HIP |
| 112837814 | Other | NY | GUARDIAN |
| 112837814 | Other | NY | UNICARE |
| KP031 | Other | NY | OXFORD |
| 0092728 | Other | NY | GHI |
| 0C2903 | Other | NY | HEALTHNET |
| 112837814 | Other | NY | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090316000238 | NY | Practitioner - Internal Medicine | 3779640909 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 23.47 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jlr9018@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1245299908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 HENRY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112312745",
"telephone_number": "718-625-5453",
"fax_number": "718-858-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 HENRY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112312745",
"telephone_number": "718-625-5453",
"fax_number": "718-858-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANELLI",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "158432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN POSTAL",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLER",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL RURAL LETTER",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DGA",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE MAJOR",
"identifier": "112831814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "158432",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "112837814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KP031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0092728",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0C2903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "112837814",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.