ROME MEDICAL PRACTICE (NPI# 1861750010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861750010 |
| Entity Type | Organization |
| Organization Name | ROME MEDICAL PRACTICE |
| Other Organization Name | DR. GLADY JACOB MD |
| Practice Address |
267 Hill Rd Suite 100 Rome NY 13441-4203 |
| Mailing Address |
245 Hill Rd Rome NY 13441-4203 |
| Practice Telephone | 3153567380 |
| Practice Fax Number | 3153567386 |
| Mailing Telephone | 3153370429 |
| Mailing Fax Number | 3153560583 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | SALTZGABER LEE (PRESIDENT) |
| Authorized Official Telephone | 3153387232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ROME MEDICAL PRACTICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
003788-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
003788-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02735037 | 05 |
| Other Name | Type Code |
|---|---|
| Dr. Glady Jacob MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669863379 | Rome Medical Practice | Obstetrics & Gynecology | 7900 Turin Rd, Building 4, Suite 2, Rome, NY 13440-1900 | 2015-02-17 |
| 1851683882 | Rome Medical Practice | Internal Medicine | 1617 N James St, Suite 800, Rome, NY 13440-2852 | 2011-05-10 |
| 1205128238 | Rome Medical Practice | Surgery | 1617 N James St, Suite 700, Rome, NY 13440-2852 | 2011-05-10 |
| 1174815534 | Rome Medical Practice | Orthopaedic Surgery | 107 E Chestnut St, Suite106, Rome, NY 13440-2834 | 2011-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROME MEDICAL PRACTICE, P.C. | 245 Hill Rd., Rome, New York 13441 |
| Street Address |
267 HILL RD SUITE 100 |
| City | ROME |
| State | NY |
| Zip Code | 13441-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765042 | Shuban K Moza | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2005-07-27 |
| 1851822175 | Elizabeth C Santaniello | Nurse Practitioner | 267 Hill Rd, Rome, NY 13441 | 2017-03-27 |
| 1104235274 | Lindsey Sampo | Physician Assistant | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2014-08-04 |
| 1508272287 | Sarah Eanniello | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2014-07-02 |
| 1346655834 | Katherine Freeman | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2014-06-24 |
| 1831311588 | Glady Jacob | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2007-05-03 |
| 1740318070 | Jessica Lisa Hurwitz | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| Find all providers in zip 13441 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487074647 | Alzhacare LLC | Psychiatry & Neurology | 5 Saddle Trl Se, Rome, GA 30161-6829 | 2014-04-25 |
| 1952523375 | David Allen Hale | Psychiatry & Neurology | 550 Redmond Road, Rome, GA 30165 | 2007-05-03 |
| 1316115538 | Coosa Neurology PC | Psychiatry & Neurology | 20 Riverbend Dr Sw, Rome, GA 30161-6066 | 2008-02-11 |
| 1225216864 | Brian Corey Hard | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2008-02-06 |
| 1831311588 | Glady Jacob | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2007-05-03 |
| 1063531416 | Redmond Hospital Services LLC | Psychiatry & Neurology | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2007-03-28 |
| 1871658054 | Jay Alan Schecter | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-27 |
| 1144381500 | Jeffrey Thurman Glass | Psychiatry & Neurology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2006-12-12 |
| 1114017969 | Gangadhar Madupu | Psychiatry & Neurology | 1617 N James St, Rome, NY 13440-2852 | 2006-10-13 |
| 1134103997 | William K Naguszewski | Psychiatry & Neurology | 126 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2005-12-05 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.