Samuel Romano, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01518100 Issued in NJ

Practice address

120 Park Ave
Madison, NJ 07940-1559

Phone

(973) 377-7088

Fax

(973) 377-4722

NPI assigned

Mar 21, 2007

Last updated

May 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Jersey Maxillo-Facial Services LLC

  • Specialist
  • Madison, NJ
  • NPI 1376882324
  NPD (past) Authorized official
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1356466759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401559",
            "telephone_number": "973-377-7088",
            "fax_number": "973-377-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401559",
            "telephone_number": "973-377-7088",
            "fax_number": "973-377-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01518100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550810700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Ritota
• Mary Lisa Robinson, MA, CT
• Julie Roebuck I, LCSW
• Stephen J. Roman, MD
• Carmen Romano, DC
• Stephanie Marie Ronco
• Tamar Roodner, DDS
• Carolyn Grace Rooney, PH.D.
• Nicole Roselle, PT
• Jason Rothenberg, DMD, MS

• General Practice Dentistry in Madison, NJ
• Providers in Madison, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.