Rome Medical Practice

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

003788-1 Issued in NY

Legal business name

ROME MEDICAL PRACTICE

Doing business as

Dr. Glady Jacob MD

Practice address

267 Hill Rd
Suite 100
Rome, NY 13441-4203

Phone

(315) 356-7380

Fax

(315) 356-7386

NPI assigned

Apr 25, 2012

Organization subpart

Yes

Parent organization

ROME MEDICAL PRACTICEAs reported in NPPES

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

Authorized official

Name

Saltzgaber Lee, MD

Title

President

Phone

(315) 338-7232

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Glady Jacob MD Doing business as

Tax ID family

Rome Medical Practice PC3 organizations share this tax ID, including this one

Part of

Rome Medical Practice PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rome Medical Practice

  • Obstetrics & Gynecology Physician
  • Rome, NY
  • NPI 1669863379
  NPD tax ID
• Rome Medical Practice P.C.

  • Urology Physician
  • Rome, NY
  • NPI 1083962443
  NPD tax ID

Practitioners 1

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

• Glady Jacob, M.D

  • Neurology Physician
  • Rome, NY
  • NPI 1831311588
  NPD (past)

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1861750010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HILL RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414203",
            "telephone_number": "315-337-0429",
            "fax_number": "315-356-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 HILL RD",
            "address_2": "SUITE 100",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414203",
            "telephone_number": "315-356-7380",
            "fax_number": "315-356-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME MEDICAL PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROME MEDICAL PRACTICE",
        "enumeration_date": "2012-04-25",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SALTZGABER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-338-7232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "003788-1",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "003788-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02735037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Glady Jacob MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rome Hearing Clinic
• Rome Medical Group, P.C.
• Rome Medical Practice
• Rome Medical Practice
• Rome Medical Practice
• Rome Medical Practice P.C.
• Rome Medical Practice PC
• Rome Medical Practice PC
• Rome Memorial Hospital
• Rome Memorial Hospital, Inc

• Neurology Physician in Rome, NY
• Providers in Rome, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.