Active NPI
Madison Medical and Sports Rehabilitation L.L.C
- Sports Physician Chiropractor
- Madison, NJ
National Provider Identifier
1992730253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00562600
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carmen Romano, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000055 | NJ | Part B Supplier - Clinic/Group Practice | 2769381243 |
Receives reassigned benefits from 23 practitioners Practice locations: Madison, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
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.