NPIMap

Organization Active NPI

Madison Medical and Sports Rehabilitation L.L.C

  • Sports Physician Chiropractor
  • Madison, NJ
National Provider Identifier
1992730253
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00562600 Issued in NJ
Legal business name
MADISON MEDICAL AND SPORTS REHABILITATION L.L.C
Practice address
210 Main St
Madison, NJ 07940-2209
Phone
(973) 377-6700
Fax
(973) 377-8008
NPI assigned
Jul 12, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Carmen Romano, DCNPI 1023037520
Title
Owner
Phone
(973) 377-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 38MC00562600 NJ Primary

Addresses

Primary practice location

210 Main St
Madison, NJ 07940-2209

Mailing address

210 Main St
Madison, NJ 07940-2209
Phone (973) 377-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000055 NJ Part B Supplier - Clinic/Group Practice 2769381243 Receives reassigned benefits from 23 practitioners
Practice locations: Madison, NJ

National Provider Directory

National Provider Directory

Locations

210 Main St
Madison, NJ 07940
Phone (973) 377-6688

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992730253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402209",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402209",
            "telephone_number": "973-377-6700",
            "fax_number": "973-377-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL AND SPORTS REHABILITATION L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-377-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00562600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.