Individual provider Active NPI

Matthew Frederick Romanelli, M.D.

  • Psychosomatic Medicine Physician
  • Briarcliff Manor, NY
National Provider Identifier
1730393208
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
188080 Issued in NY
Practice address
315 S Highland Ave
Briarcliff Manor, NY 10510-2031
Phone
(914) 923-5733
Fax
(914) 923-5790
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 188080 NY Primary

Addresses

Primary practice location

315 S Highland Ave
Briarcliff Manor, NY 10510-2031

Mailing address

153 Prospect PL
Brooklyn, NY 11238-3801
Phone (718) 551-2848

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
I20031124000377 NY Practitioner - Psychiatry 7214831940 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Hospital Association Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 26, 2018 Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

100 S Highland Ave
Ossining, NY 10562
Phone (914) 373-4949

300 Community Dr
Plandome, NY 11030

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 5

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730393208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383801",
            "telephone_number": "718-551-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S HIGHLAND AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102031",
            "telephone_number": "914-923-5733",
            "fax_number": "914-923-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "MATTHEW",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "188080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

Verify at the official NPI Registry.