Provider Demographics
NPI:1912992991
Name:ROMANSKY, NICHOLAS M (DPM)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:M
Last Name:ROMANSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:101 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3037
Mailing Address - Country:US
Mailing Address - Phone:610-565-3668
Mailing Address - Fax:610-565-9722
Practice Address - Street 1:101 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3037
Practice Address - Country:US
Practice Address - Phone:610-565-3668
Practice Address - Fax:610-565-9722
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003145L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0097358000OtherKEYSTONE HEALTH PLAN EAST
PA01101572-01OtherAMERICHOICE-PHOENIXVILLE
PA7071841OtherCIGNA
PAD00503OtherAHA (AMERIHEALTH ADMINIST
PA000786653OtherGREAT WEST
PA01101572-02OtherAMERICHOICE MEDIA OFFICE
PA265239OtherMAMSI
PA480012888OtherRAILROAD MEDICARE
PA362910OtherUNITED HEALTHCARE
PA0097358000OtherPERSONAL CHOICE
PA400503OtherPA BLUE SHIELD
PA01101572-01OtherAMERICHOICE-PHOENIXVILLE
PAD00503OtherAHA (AMERIHEALTH ADMINIST
PA0097358000OtherPERSONAL CHOICE