Active NPI
Adam Michael Romano, LAT / ATC
- Athletic Trainer
- New Britain, CT
National Provider Identifier
1902577372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001333
- Practice address
- 1615 Stanley St
New Britain, CT 06050-2439 - Phone
- (860) 832-3086
- Fax
- (860) 832-2579
- NPI assigned
- Sep 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001333 | CT | Primary |
Addresses
Primary practice location
1615 Stanley St
New Britain, CT 06050-2439
Mailing address
75 Chestnut St
Terryville, CT 06786-5513
Phone (860) 378-7507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001333 | Other | CT | CT ATHLETIC TRAINING LICESNURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001333 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1902577372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CHESTNUT ST",
"city": "TERRYVILLE",
"state": "CT",
"postal_code": "067865513",
"telephone_number": "860-378-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 STANLEY ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060502439",
"telephone_number": "860-832-3086",
"fax_number": "860-832-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LAT / ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "001333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT ATHLETIC TRAINING LICESNURE",
"identifier": "001333",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.