Organization Active NPI

Andrade Romo Retina Ophthalmology PLLC

  • Retina Specialist (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1093690414
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
ANDRADE ROMO RETINA OPHTHALMOLOGY PLLC
Practice address
310 E 14TH St # 403
New York, NY 10003-4284
Phone
(212) 979-4643
Fax
(212) 979-4676
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jorge Santiago Andrade Romo, MD
Title
Owner
Phone
(212) 979-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

310 E 14TH St # 403
New York, NY 10003-4284

Mailing address

310 E 14TH St # 403
New York, NY 10003-4284
Phone (212) 979-4643

Other names 1

  • Andrade Retina Doing business as

National Provider Directory

National Provider Directory

Locations

310 E 14th St
#403
New York, NY 10003
Phone (212) 979-4410

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1093690414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST # 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-979-4643",
            "fax_number": "212-979-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST # 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-979-4643",
            "fax_number": "212-979-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRADE ROMO RETINA OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "ANDRADE ROMO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-979-4643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrade Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.