ROME MEMORIAL HOSPITAL, INC
NPI 1336100767
Clinic/Center - Primary Care in Boonville, NY
About Rome Memorial Hospital, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROME MEMORIAL HOSPITAL, INC (NPI 1336100767) is a healthcare organization registered as a primary care in Boonville, New York and active in the NPI registry since March 2006. The organization lists Ann Marie Czyz, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
52Medicare 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 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1336100767. It was assigned to this organization in the NPPES registry on March 28, 2006.
Where is Rome Memorial Hospital, Inc located?
Rome Memorial Hospital, Inc is located at 13407 State Route 12, Boonville, NY 13309. The listed phone number is (315) 942-3500.
What is Rome Memorial Hospital, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rome Memorial Hospital, Inc was last updated on July 10, 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.
# Rome Memorial Hospital, Inc · NPI 1336100767
Primary Care organization in Boonville, New York. Organization record, active in the CMS NPPES registry since March 28, 2006.
## Identity
- **NPI:** 1336100767 (Entity type: Organization)
- **Enumerated:** March 28, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ann Marie Czyz, PRESIDENT/CEO
## Practice location
- **Address:** 13407 STATE ROUTE 12, Boonville, NY 13309-4954
- **Phone:** (315) 942-3500 · **Fax:** (315) 942-2044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Family Practice (4), General Surgery (4); 1 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1336100767/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
- **Other identifiers:** Medicaid 03001425 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1336100767) · Data from the CMS NPPES public registry.