NPIMap

Organization Active NPI

Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
National Provider Identifier
1952362741
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROME MEMORIAL HOSPITAL, INC
Practice address
155 W Dominick St
Rome, NY 13440-5809
Phone
(315) 338-7640
NPI assigned
Mar 31, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Mr. Basil Ariglio
Title
President/Ceo
Phone
(315) 338-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

155 W Dominick St
Rome, NY 13440-5809

Mailing address

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

Other identifiers 4

IdentifierTypeStateIssuer
352534MedicaidNY
0009OtherNYHMO BLUE
0392OtherNYMVP
10060775OtherNYCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952362741. 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
CorporationNon-profit
Incorporated
Dec 23, 1994 in NY
Enrollment address
1500N James St
Rome, NY 13440-2844
Other Hospital Practice Location
Hospital subgroups
Psychiatric, Rehabilitation, Short-term

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Rome Memorial Hospital, IncCCN 330215 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Rome Memorial Hospital Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

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.

NameRoleSinceShare
Lynn Reese Individual Corporate DirectorVice Chair Dec 12, 2007
Ryan Thompson Individual Corporate DirectorChief Operations Officer Mar 15, 2020
Anne Marie Czyz Individual Corporate DirectorChief Executive Officer Mar 1, 2021
Valerie Finster Individual Corporate DirectorDirector Patient Accounts Nov 1, 2021
Julie Grow Denton Individual Corporate DirectorTreasurer Jan 11, 2011
Ankur M Desai Individual Corporate OfficerChairman Jan 1, 2020
Kristin Grunder Individual Corporate DirectorAssistant Secretary Oct 24, 2017
Ryan O-Shaughnessy Individual Corporate DirectorAssisstant Treasurer Aug 29, 2017
Darlene Burns Individual Corporate DirectorSecretary Mar 29, 2016
John R Restivo Individual Corporate Officer Jan 1, 2020
Nathan Smith Individual Corporate DirectorAvp Finance Jul 1, 2025 5%
W-2 Managing EmployeeAvp Finance Jul 1, 2025
Operational/Managerial ControlAvp Finance 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.

View all 337

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1952362741",
    "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": "155 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405809",
            "telephone_number": "315-338-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "ARIGLIO",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "315-338-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352534",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "0009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0392",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10060775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.