Individual provider Active NPI

James N Romanelli V, MD.,FACS

  • Plastic Surgery Physician
  • Melville, NY
National Provider Identifier
1497827810
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
154636-1 Issued in NY
Practice address
510 Broadhollow Rd Ste 100
Melville, NY 11747-3671
Phone
(631) 424-3600
Fax
(631) 424-2963
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 154636-1 NY Primary

Addresses

Primary practice location

510 Broadhollow Rd Ste 100
Melville, NY 11747-3671

Mailing address

510 Broadhollow Rd Ste 100
Melville, NY 11747-3671
Phone (631) 424-3600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000674 NY Practitioner - Plastic and Reconstructive Surgery 1456382936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of New York Downstate Medical Center, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Broadhollow Rd
Suite 100
Melville, NY 11747-3606
Phone (631) 424-3600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154636-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Plastic Surgery P.C. CurrentSince Jan 1, 2021 Accepting new patients
Huntington Plastic Surgery PC Plastic Surgery CurrentSince Jan 1, 2021 Accepting new patients

Locations

110 E Main St
Ste 6
Huntington, NY 11743
Phone (516) 259-2525

510 Broadhollow Rd
Ste 100
Melville, NY 11747
Phone (631) 424-3600

Organizations & group practices 3

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 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1497827810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473671",
            "telephone_number": "631-424-3600",
            "fax_number": "631-424-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW RD STE 100",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473671",
            "telephone_number": "631-424-3600",
            "fax_number": "631-424-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "JAMES",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "MD.,FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "154636-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.