Provider Demographics
NPI:1497827810
Name:ROMANELLI, JAMES N V (MD,FACS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:ROMANELLI
Suffix:V
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:510 BROADHOLLOW RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3671
Mailing Address - Country:US
Mailing Address - Phone:631-424-3600
Mailing Address - Fax:631-424-2963
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:631-424-2963
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154636-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE36570Medicare UPIN