Individual provider Active NPI

Lennie Romero, CRNP

  • Family Nurse Practitioner
  • Hazle Township, PA
National Provider Identifier
1467968545
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018355 Issued in PA
Practice address
1090 N Church St
Hazle Township, PA 18202-1480
Phone
(570) 459-1485
Fax
(570) 459-6354
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018355 PA Primary

Addresses

Primary practice location

1090 N Church St
Hazle Township, PA 18202-1480

Mailing address

1090 N Church St
Hazle Township, PA 18202-1480
Phone (570) 459-1485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023000511 PA Practitioner - Nurse Practitioner 6406109388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Assoc of Hazelton IncGroup PAC ID 5193708816, 3 clinicians

Practice addresses (Care Compare)

1090 N Church St
Hazle Township, PA 18202-1446

1090 N Church St
Hazle Township, PA 18202-1480
Phone (570) 459-1485

Hospital & facility affiliations

  • All Care Home Care, Inc Home health agency, Hazleton, PA, CCN 397449
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018355PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Assoc of Hazelton Inc CurrentSince Aug 25, 2018 Accepting new patients

Locations

607 Centre St
Freeland, PA 18224
Phone (570) 579-8300

403 Hazle Township Blvd
Hazle Township, PA 18202
Phone (570) 454-8888

1090 N Church St
Hazle Township, PA 18202
Phone (570) 459-1485

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1467968545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021480",
            "telephone_number": "570-459-1485",
            "fax_number": "570-459-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021480",
            "telephone_number": "570-459-1485",
            "fax_number": "570-459-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "LENNIE",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

Verify at the official NPI Registry.