Individual provider Active NPI

Judith T Romano, MD

  • Pediatrics Physician
  • Martins Ferry, OH
National Provider Identifier
1609971480
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35077419 Issued in OH
Practice address
222 N 5TH St
Suite 101
Martins Ferry, OH 43935-1582
Phone
(740) 633-6480
Fax
(740) 633-6475
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35077419 OH Primary

Addresses

Primary practice location

222 N 5TH St
Suite 101
Martins Ferry, OH 43935-1582

Mailing address

222 N 5TH St
Suite 101
Martins Ferry, OH 43935-1582
Phone (740) 633-6480

Other identifiers 2

IdentifierTypeStateIssuer
0106704000MedicaidWV
0787162MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20130501000107 WV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779720222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077419OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1609971480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "address_2": "SUITE 101",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351582",
            "telephone_number": "740-633-6480",
            "fax_number": "740-633-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "address_2": "SUITE 101",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351582",
            "telephone_number": "740-633-6480",
            "fax_number": "740-633-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JUDITH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35077419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106704000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martins Ferry, OH

Sources for this page

Verify at the official NPI Registry.