Active NPI
Katelyn Romell
- Specialist
- Malta, NY
National Provider Identifier
1326300443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 548934111
- Practice address
- 100 Saratoga Village Blvd
Suite 35
Malta, NY 12020-3737 - Phone
- (518) 899-9235
- Fax
- (518) 899-9315
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 548934111 | NY | Primary |
Addresses
Primary practice location
100 Saratoga Village Blvd
Suite 35
Malta, NY 12020-3737
Mailing address
100 Saratoga Village Blvd
Suite 35
Malta, NY 12020-3737
Phone (518) 899-9235
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548934111 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newmeadow, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Clifton Park, NY
- NPI 1831342963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1326300443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SARATOGA VILLAGE BLVD",
"address_2": "SUITE 35",
"city": "MALTA",
"state": "NY",
"postal_code": "120203737",
"telephone_number": "518-899-9235",
"fax_number": "518-899-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SARATOGA VILLAGE BLVD",
"address_2": "SUITE 35",
"city": "MALTA",
"state": "NY",
"postal_code": "120203737",
"telephone_number": "518-899-9235",
"fax_number": "518-899-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMELL",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "548934111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.