ROME MEMORIAL HOSPITAL, INC
NPI 1073693420
Clinic/Center - Family Planning, Non-Surgical in Rome, NY

Active since October 17, 2006CLIA 33D2056018 · Waiver
155 W DOMINICK ST, ROME, NY 13440(315) 338-7057 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rome Memorial Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROME MEMORIAL HOSPITAL, INC (NPI 1073693420) is a healthcare organization registered as a family planning, non-surgical in Rome, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ann Marie Czyz, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1073693420
Entity TypeOrganization
Primary Taxonomy261QF0050X
Legal Business NameROME MEMORIAL HOSPITAL, INC
Location Address155 W DOMINICK STRome, NY 13440-5809
Mailing Address1500 N James StRome, NY 13440-2844 · (315) 337-1200
Organization SubpartNo
Authorized OfficialAnn Marie CzyzPresident/ceo · (315) 337-1200
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1073693420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Family Planning, Non-SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QF0050X
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
155 W DOMINICK ST, Rome, NY 13440

Other Identifiers 1

Medicaid0052534NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rome Memorial Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Rome Memorial Hospital, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner25
Family Practice4
General Surgery4
Internal Medicine4
Obstetrics/Gynecology3
Gastroenterology2
Orthopedic Surgery2
Pediatric Medicine2
5 other specialties6

Nearest to this location (20)

See all 52
Nurse Practitioner
NPI 1548952484
155 W DOMINICK ST
Rome, NY 13440
(315) 338-7057
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598056509
264 W DOMINICK ST
Rome, NY 13440
(315) 334-4701
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1679683031
1316 BLACK RIVER BLVD N
Rome, NY 13440
(315) 336-3353
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1144812041
1500 N JAMES ST
Rome, NY 13440
(315) 338-7040
✔ PECOS✔ Accepts Medicare1.5 mi
General Surgery
NPI 1043576564
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1538906631
1500 N JAMES ST
Rome, NY 13440
(315) 338-7000
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1922538016
1500 NORTH JAMES STREET
Rome, NY 13440
(315) 338-7040
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1851125009
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1942306238
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
Podiatry
NPI 1003559899
1500 N JAMES ST
Rome, NY 13440
(315) 338-9200
✔ PECOS✔ Accepts Medicare1.5 mi
General Surgery
NPI 1083277487
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
General Surgery
NPI 1750792511
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1427544774
1500 N JAMES ST
Rome, NY 13440
(315) 338-7140
✔ PECOS1.5 mi
Family Practice
NPI 1437569746
1500 N JAMES ST
Rome, NY 13440
(315) 338-7184
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1205219813
1614 N JAMES ST
Rome, NY 13440
(315) 338-7284
✔ PECOS✔ Accepts Medicare1.6 mi
Orthopedic Surgery
NPI 1497843924
107 E CHESTNUT ST STE 106
Rome, NY 13440
(315) 338-3200
✔ PECOS✔ Accepts Medicare1.7 mi
Orthopedic Surgery
NPI 1922042175
107 E CHESTNUT ST SUITE 106
Rome, NY 13440
(315) 338-9200
✔ PECOS✔ Accepts Medicare1.7 mi
Physical Medicine and Rehabilitation
NPI 1679096663
107 E CHESTNUT ST STE 106
Rome, NY 13440
(153) 389-2003
✔ PECOS✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1952614117
1819 BLACK RIVER BLVD N
Rome, NY 13440
(315) 388-7184
✔ PECOS2.0 mi
Neurology
NPI 1831311588
267 AVERY LN STE 300
Rome, NY 13441
(315) 356-7390
✔ PECOS✔ Accepts Medicare2.0 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2056018

Rome Memorial Hospital Regional Center For Wound Care · Rome, NY
Active · expires Mar 26, 2027
CLIA Number33D2056018
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 20, 2013
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Jennifer L. Fields
Laboratory Phone(315) 338-7060
Laboratory LocationRome Memorial Hospital Regional Center For Wound Care267 Hill Road, Rome, NY 13440
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rome Memorial Hospital, Inc's NPI number?

The NPI number for Rome Memorial Hospital, Inc is 1073693420. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Rome Memorial Hospital, Inc located?

Rome Memorial Hospital, Inc is located at 155 W Dominick St, Rome, NY 13440. The listed phone number is (315) 338-7057.

What is Rome Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Family Planning, Non-Surgical, with taxonomy code 261QF0050X.

Is Rome Memorial Hospital, Inc enrolled in Medicare?

Yes. Rome Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rome Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 13 Medicare specialties reassign their Medicare billing to Rome Memorial Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Family Practice (4) and General Surgery (4). Of these, 1 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rome Memorial Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2056018) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rome Memorial Hospital, Inc was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.