Active NPI
Rome Memorial Hospital, Inc.
Doing business as Chestnut Commons
- Physical Therapy Clinic/Center
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ROME MEMORIAL HOSPITAL, INC.
- Doing business as
- Chestnut Commons
Chestnut Commons PT/OT - Practice address
- 107 E Chestnut St
Rome, NY 13440-2834 - Phone
- (315) 338-7536
- NPI assigned
- Oct 10, 2006
- Last updated
- Nov 14, 2025
- Organization subpart
- Yes
- Parent organization
- ROME MEMORIAL HOSPITAL, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Smith
- Title
- Avp Finance
- Phone
- (315) 338-7597
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary | |
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Neurology Physician | 2084N0400X | NU |
Addresses
Primary practice location
107 E Chestnut St
Rome, NY 13440-2834
Mailing address
1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10023563 | Other | NY | CDPHP |
| 0392 | Other | NY | MVP |
Other names 2
- Chestnut Commons
- Chestnut Commons PT/OT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021021000020 | NY | Part A Provider - Hospital | 9638087273 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boonville, NY; Camden, NY; Rome, NY |
| O20040719001470 | NY | Part B Supplier - Clinic/Group Practice | 9638087273 |
Receives reassigned benefits from 56 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camden, NY; Rome, NY; Boonville, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851489330. Details of each certification follow.
Hospital certification: CCN 330215
- Legal name
- ROME MEMORIAL HOSPITAL, INC.
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 10, 2024
- Beds
- 144
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Dec 23, 1994 in NY
- Enrollment address
- 1500N James St
Rome, NY 13440-2844 - Hospital subgroups
- Psychiatric, Rehabilitation, Short-term
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Psychiatric Hospital Unit
- Rome, NY
- NPI 1255315305
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Delta Medical
- Internal Medicine Physician
- Rome, NY
- NPI 1700121894
O20021021000020, O20040719001470
-
- Non-Surgical Family Planning Clinic/Center
- Rome, NY
- NPI 1073693420
O20040719001470
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
O20021021000020, O20040719001470
-
- Primary Care Clinic/Center
- Boonville, NY
- NPI 1336100767
O20021021000020, O20040719001470
-
dba Regional Wound Care Center
- Clinic/Center
- Rome, NY
- NPI 1356689004
O20021021000020, O20040719001470
-
dba Camden Family Care
- Primary Care Clinic/Center
- Camden, NY
- NPI 1891113965
O20021021000020, O20040719001470
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
O20021021000020, O20040719001470
Care Compare: Hospital
Medicare Care Compare- Listed as
- Rome Memorial Hospital, Inc
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Rome Memorial Hospital Inc
- Part of
- Rome Memorial Hospital Inc
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
-
- Primary Care Clinic/Center
- Boonville, NY
- NPI 1336100767
-
- Family Medicine Physician
- Verona, NY
- NPI 1396680435
-
- Durable Medical Equipment & Medical Supplies
- Rome, NY
- NPI 1881466381
-
dba Camden Family Care
- Primary Care Clinic/Center
- Camden, NY
- NPI 1891113965
-
- Primary Care Clinic/Center
- Rome, NY
- NPI 1952362741
-
- Anesthesiology Physician
- Rome, NY
- NPI 1962224162
-
- Hospitalist Physician
- Rome, NY
- NPI 1841118536
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lynn Reese | Corporate Director | Dec 12, 2007 | |
| Ryan Thompson | Corporate Director | Mar 15, 2020 | |
| Anne Marie Czyz | Corporate Director | Mar 1, 2021 | |
| Valerie Finster | Corporate Director | Nov 1, 2021 | |
| Julie Grow Denton | Corporate Director | Jan 11, 2011 | |
| Ankur M Desai | Corporate Officer | Jan 1, 2020 | |
| Kristin Grunder | Corporate Director | Oct 24, 2017 | |
| Ryan O-Shaughnessy | Corporate Director | Aug 29, 2017 | |
| Darlene Burns | Corporate Director | Mar 29, 2016 | |
| John R Restivo | Corporate Officer | Jan 1, 2020 | |
| Nathan Smith | Corporate Director | Jul 1, 2025 | 5% |
| W-2 Managing Employee | Jul 1, 2025 | ||
| Operational/Managerial Control | Jul 1, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 337
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Utica, NY
- NPI 1518278423
-
- Endocrinology, Diabetes & Metabolism Physician
- New Hartford, NY
- NPI 1679547111
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1851489330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402844",
"telephone_number": "315-338-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E CHESTNUT ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402834",
"telephone_number": "315-338-7536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROME MEMORIAL HOSPITAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROME MEMORIAL HOSPITAL, INC",
"enumeration_date": "2006-10-10",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "AVP FINANCE",
"authorized_official_telephone_number": "315-338-7597"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10023563",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "0392",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chestnut Commons",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Chestnut Commons PT/OT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Chestnut Commons PT/OT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.