Provider Demographics
NPI:1750614954
Name:ANI, ROME U (BSC, CFTS)
Entity type:Individual
Prefix:MR
First Name:ROME
Middle Name:U
Last Name:ANI
Suffix:
Gender:M
Credentials:BSC, CFTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 ALPINIS DR.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-1852
Mailing Address - Country:US
Mailing Address - Phone:919-741-4464
Mailing Address - Fax:919-741-4463
Practice Address - Street 1:4909 ALPINIS DR.
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-1852
Practice Address - Country:US
Practice Address - Phone:919-741-4464
Practice Address - Fax:919-741-4463
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704886Medicaid
NC6065660001Medicare NSC