NPIMap

Individual provider Active NPI

Romolo A. Maurizi, M.D.

  • Diagnostic Radiology Physician
  • Jersey City, NJ
National Provider Identifier
1437109030
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA04406300 Issued in NJ
Practice address
550 Summit Ave
Jersey City, NJ 07306-2707
Phone
(201) 656-5050
Fax
(201) 656-0689
NPI assigned
May 12, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA04406300 NJ Primary

Addresses

Primary practice location

550 Summit Ave
Jersey City, NJ 07306-2707

Mailing address

PO Box 8117
Jersey City, NJ 07308-8117
Phone (201) 656-5050

Other identifiers 1

IdentifierTypeStateIssuer
0710601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000183 NJ Practitioner - Diagnostic Radiology 6709770431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

402 43Rd St
Union City, NJ 07087-5010
Phone (201) 348-6060

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04406300NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergenline X Ray Diagnostic Center Corp Diagnostic Radiology CurrentSince Apr 29, 2009 Accepting new patients
American Diagnostic Laboratories Inc. CurrentSince Jan 1, 2000 Accepting new patients
Precious Perinatology LLC CurrentSince Dec 11, 2021 Accepting new patients
Precious Life Medical Services LLC Diagnostic Radiology CurrentSince Dec 11, 2021 Accepting new patients
Cardio Pulmonary Diagnostic LLC PastSince Dec 1, 2019 Accepting new patients
Pavonia Diagnostic Imaging, PA Diagnostic Radiology Past Accepting new patients
Chester Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Institute for Better Breathing PC Past Accepting new patients
NJ Cardiovascular Institute LLC PastSince Jul 10, 2017 Accepting new patients
Diagnostic Imaging of Clifton, P.a. Diagnostic Radiology Past Accepting new patients

Locations

1030 Saint Georges Ave
Ste 200A
Avenel, NJ 07001
Phone (201) 407-6222

402 43rd St
Union City, NJ 07087
Phone (201) 348-6060

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1437109030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8117",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073088117",
            "telephone_number": "201-656-5050",
            "fax_number": "201-656-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-656-5050",
            "fax_number": "201-656-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIZI",
        "first_name": "ROMOLO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04406300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.