Individual provider Active NPI

Rita Romano, NP

  • Family Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1811262199
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346404 Issued in NY
Practice address
1045 W Jericho Tpke
Smithtown, NY 11787-3205
Phone
(631) 543-8844
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346404 NY Primary

Addresses

Primary practice location

1045 W Jericho Tpke
Smithtown, NY 11787-3205

Mailing address

29 Rudder Dr
Holtsville, NY 11742-2211
Phone (631) 617-8055

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000576 NY Practitioner - Nurse Practitioner 1456894245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Marc Allen Medical PCGroup PAC ID 9133185770, 6 clinicians

Practice addresses (Care Compare)

1045 W Jericho Tpke
Smithtown, NY 11787-3205
Phone (631) 543-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346404NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marc Allen Medical PC CurrentSince May 1, 2024 Accepting new patients

Locations

1170 Fort Salonga Rd
Northport, NY 11768

1045 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 543-8844

Organizations & group practices 1

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1811262199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RUDDER DR",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422211",
            "telephone_number": "631-617-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873205",
            "telephone_number": "631-543-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "RITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.