Individual provider Active NPI

Josette Romain, M.D.

  • Family Medicine Physician
  • Orange City, FL
National Provider Identifier
1851408348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME60943 Issued in FL
Practice address
2725 Rebecca LN
Suite 107
Orange City, FL 32763-8350
Phone
(386) 775-0736
Fax
(386) 775-0738
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME60943 FL Primary

Addresses

Primary practice location

2725 Rebecca LN
Suite 107
Orange City, FL 32763-8350

Mailing address

2725 Rebecca LN
Suite 107
Orange City, FL 32763-8350
Phone (386) 775-0736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110715000516 FL Practitioner - PsychiatryPractitioner - Family Practice 0042488173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adly Thebaud,MD,PA 5 clinicians

Practice addresses (Care Compare)

2725 Rebecca LN
Suite 107
Orange City, FL 32763-8350
Phone (386) 775-0736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME60943FLMDFamily Medicine Physician

Networks

  • Freedom Health HMO Network

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851408348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 REBECCA LN",
            "address_2": "SUITE 107",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638350",
            "telephone_number": "386-775-0736",
            "fax_number": "386-775-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 REBECCA LN",
            "address_2": "SUITE 107",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638350",
            "telephone_number": "386-775-0736",
            "fax_number": "386-775-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAIN",
        "first_name": "JOSETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME60943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.