Active NPI
Andrade Romo Retina Ophthalmology PLLC
- Retina Specialist (Ophthalmology) Physician
- New York, NY
National Provider Identifier
1093690414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.