Provider Demographics
NPI:1992080352
Name:JAMES N ROMANELLI MD P C
Entity type:Organization
Organization Name:JAMES N ROMANELLI MD P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-424-3600
Mailing Address - Street 1:510 BROADHOLLOW ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747
Mailing Address - Country:US
Mailing Address - Phone:631-424-3600
Mailing Address - Fax:
Practice Address - Street 1:510 BROADHOLLOW RD STE 100
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3671
Practice Address - Country:US
Practice Address - Phone:631-424-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty