Organization Active NPI

Romtherapy Connecticut Medical PC

  • Cardiovascular Disease Physician
  • Waterbury, CT
National Provider Identifier
1750146452
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROMTHERAPY CONNECTICUT MEDICAL PC
Practice address
1587 Hamilton Ave
Waterbury, CT 06706-2403
Phone
(888) 374-0855
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
George Peter Stacy, MDNPI 1669471066
Title
Owner
Phone
(502) 592-7743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

1587 Hamilton Ave
Waterbury, CT 06706-2403

Mailing address

101 Silvermine Rd Ste 300
Brookfield, CT 06804-2047
Phone (888) 374-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WV, NE, MI, CT, AR, TN, NC, PA, MD, DC, CO, WA, RI, MN, IL, SC, MA, FL, KY, TX, NJ, OH, MT, MO, NY, GA27 enrollments

Enrollment records 27

Enrollment IDStateProvider typePAC IDDetails
O20240424003926 IN Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 3 practitioners
Practice locations: Indianapolis, IN
O20240502001343 WV Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV
O20240503000342 NE Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: La Vista, NE; Lincoln, NE
O20240503000626 MI Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI
O20240503001532 CT Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Waterbury, CT
O20240503002800 AR Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Bella Vista, AR; Little Rock, AR
O20240507002100 TN Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN; Rogersville, TN
O20240513000381 NC Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC
O20240520003297 PA Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 7 practitioners
Practice locations: Greensburg, PA; Wynnewood, PA; Pittsburgh, PA; Philadelphia, PA; Drums, PA
O20240521000758 MD Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Glen Burnie, MD; Laurel, MD
O20240521001764 DC Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC
O20240521004069 CO Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Denver, CO; Arvada, CO
O20240604000776 WA Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA
O20240614002982 RI Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI
O20240618002636 MN Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN
O20240625002826 IL Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Hoffman Estates, IL; La Salle, IL; Orangeville, IL; Springfield, IL
O20240703000393 SC Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC; Columbia, SC
O20240719002650 MA Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Sharon, MA
O20240903003098 FL Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Myers, FL; Lakewood Ranch, FL; Land O Lakes, FL; Sarasota, FL; The Acreage, FL
O20241007003562 KY Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Hebron, KY; Prospect, KY
O20241220000443 TX Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Addison, TX; Houston, TX; Killeen, TX
O20241226001507 NJ Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Bedminster, NJ; Trenton, NJ; Mount Laurel, NJ; Matawan, NJ; Englewood Cliffs, NJ
O20250102001132 OH Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH; Girard, OH
O20250116001142 MT Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 2 practitioners
Practice locations: Missoula, MT
O20250320001012 MO Part B Supplier - Clinic/Group Practice 2860832821 Practice locations: Saint Louis, MO
O20260127002805 NY Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 4 practitioners
Practice locations: Jackson Heights, NY; New York, NY; North Tonawanda, NY; Oneonta, NY; Saratoga Springs, NY
O20260312001581 GA Part B Supplier - Clinic/Group Practice 2860832821 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

1100 H St NW
Ste 840
Washington, DC 20005
Phone (301) 574-7110

320 N Meridian St
Ste 817
Indianapolis, IN 46204
Phone (646) 513-6690

502 McCormick Dr
Ste Fg
Glen Burnie, MD 21061

350 Vista Park Dr
Pittsburgh, PA 15205

500 Virginia St E
Ste 800
Charleston, WV 25301

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1750146452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SILVERMINE RD STE 300",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042047",
            "telephone_number": "888-374-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 HAMILTON AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067062403",
            "telephone_number": "888-374-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMTHERAPY CONNECTICUT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-592-7743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.