Provider Demographics
NPI:1568227262
Name:ROMTHERAPY NEW JERSEY MEDICAL, P.A.
Entity type:Organization
Organization Name:ROMTHERAPY NEW JERSEY MEDICAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:STACY
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:502-592-7743
Mailing Address - Street 1:101 SILVERMINE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2047
Mailing Address - Country:US
Mailing Address - Phone:888-374-0855
Mailing Address - Fax:
Practice Address - Street 1:208 W STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-1007
Practice Address - Country:US
Practice Address - Phone:888-374-0855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty