Active NPI
Leonard F Romanowski, CRNA
- Certified Registered Nurse Anesthetist
- Kingston, PA
National Provider Identifier
1497774996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 033188
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 033188 | PA | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 033188 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004622M49 | Other | PA | MEDICARE 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.