Elise M Romanik, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037031 Issued in CT

Practice address

22 Old Waterbury Rd
Suite 201
Southbury, CT 06488-3848

Phone

(203) 264-6503

Fax

(203) 262-1430

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

University of Connecticut School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rvnahealth Home health agency, Ridgefield, CT, CCN 077066
• Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
• Griffin Hospital Hospital, Derby, CT, CCN 070031
• Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eliseromanik@amggw.allscriptsdirect.net

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.

• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568

  CT, Internal Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New England Home Care Inc.

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1255333597
  Care Compare affiliation
• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641

  Hospital

  Care Compare affiliation
• Rvnahealth, Inc.

  • Home Health Agency
  • Ridgefield, CT
  • NPI 1497758874
  Care Compare affiliation
• Saint Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969

  Hospital

  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1790730034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD",
            "address_2": "SUITE 201",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883848",
            "telephone_number": "203-264-6503",
            "fax_number": "203-262-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD",
            "address_2": "SUITE 201",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883848",
            "telephone_number": "203-264-6503",
            "fax_number": "203-262-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANIK",
        "first_name": "ELISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "037031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maysoun Richi, M.D.
• Michael M. Rodriguez, ATC
• Megan Rom, OTR/L
• Evelyn Karen Roman
• Michele Romaniello
• Mariah Root
• Miguel Filipe Rosa, APRN
• Rose Yu-Chin MD PC
• Tammy Judith Rosenthal, LCSW
• Stephanie Ross, APRN

• All providers in Southbury, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.