Individual provider Active NPI

Katrina Adele Romeo, PA

  • Physician Assistant
  • Smithtown, NY
National Provider Identifier
1497414403
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028013 Issued in NY
Practice address
329 E Main St Ste 9
Smithtown, NY 11787-2831
Phone
(631) 366-2333
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 028013 NY Primary

Addresses

Primary practice location

329 E Main St Ste 9
Smithtown, NY 11787-2831

Mailing address

415 New York Ave Apt 2B
Huntington, NY 11743-3452
Phone (631) 905-5020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000626 NY Practitioner - Physician Assistant 4486040912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Shore Medical Treatment PLLCGroup PAC ID 7810389715, 6 clinicians

Practice addresses (Care Compare)

1842 Old Country Rd
Riverhead, NY 11901-4461
Phone (631) 830-4175

1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065

2079 Smith Haven PLZ
Lake Grove, NY 11755-1209
Phone (631) 315-6758

350 Jericho Tpke
Jericho, NY 11753-1317

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

434 Union Blvd
West Islip, NY 11795-3104
Phone (516) 537-9063

50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068

504 -506 Commack Rd
Deer Park, NY 11729-3804
Phone (631) 782-6230

5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945

600 N Wellwood Ave
Suite H
Lindenhurst, NY 11757-2000
Phone (631) 412-8903

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

71 Forest Ave
Glen Cove, NY 11542-2112
Phone (347) 493-2941

98 Jericho Tpke
Commack, NY 11725-3009
Phone (631) 387-4355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028013NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael Kaplan DO PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

329 E Middle Country Rd
Ste 9
Smithtown, NY 11787
Phone (631) 361-3363

Interoperability endpoints

  • Direct secure messaging: katrina.romeo@ghuc.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1497414403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NEW YORK AVE APT 2B",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433452",
            "telephone_number": "631-905-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E MAIN ST STE 9",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872831",
            "telephone_number": "631-366-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "KATRINA",
        "middle_name": "ADELE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.