Individual provider Active NPI

Jennifer R Romero, MD

  • Pediatrics Physician
  • Glenshaw, PA
National Provider Identifier
1184627879
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD421212 Issued in PA
Practice address
3394 Saxonburg Blvd
Suite 600
Glenshaw, PA 15116-3168
Phone
(412) 767-0707
Fax
(412) 767-0708
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD421212 PA Primary

Addresses

Primary practice location

3394 Saxonburg Blvd
Suite 600
Glenshaw, PA 15116-3168

Mailing address

3394 Saxonburg Blvd Ste 600
Glenshaw, PA 15116-3169
Phone (412) 767-0707

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jromero97108@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD421212PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics Pediatrics PastSince Oct 19, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jromero97108@direct.ahn.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1184627879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 SAXONBURG BLVD STE 600",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163169",
            "telephone_number": "412-767-0707",
            "fax_number": "412-767-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 SAXONBURG BLVD",
            "address_2": "SUITE 600",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163168",
            "telephone_number": "412-767-0707",
            "fax_number": "412-767-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD421212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jromero97108@direct.ahn.org",
            "affiliation": "N",
            "address_1": "3394 Saxonburg Blvd",
            "address_2": "Suite 600",
            "city": "Glenshaw",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151163168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.