Individual provider Active NPI

Leonard F Romanowski, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingston, PA
National Provider Identifier
1497774996
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
033188 Issued in PA
Practice address
423 3Rd Ave
Kingston, PA 18704-5809
Phone
(570) 331-0880
Fax
(570) 331-0220
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050504000717 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446154256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
033188PAMDCertified Registered Nurse Anesthetist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 033188 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

423 3Rd Ave
Kingston, PA 18704-5809

Mailing address

PO Box 1587
Kingston, PA 18704-0587
Phone (570) 331-0880

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
004622M49OtherPAMEDICARE ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2008.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1497774996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040587",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOWSKI",
        "first_name": "LEONARD",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "033188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "004622M49",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.