Individual provider Active NPI

Gerardo P Romeo, MD, DDS

  • Emergency Medicine Physician
  • Springfield, MA
National Provider Identifier
1194977611
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3018417 Issued in MA
Practice address
759 Chestnut St
Springfield, MA 01199-5000
Phone
(413) 794-0000
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 055347 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901600443 MI
Emergency Medicine Physician 207P00000X 3018417 MA Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-5000

Mailing address

759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Other identifiers 1

IdentifierTypeStateIssuer
0086651MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151130000094 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3779725353 Reassigns benefits to 1 organization
I20220812000350 CT Practitioner - Oral Surgery 3779725353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13361CTMDClinical Social Worker
055437NYMDPharmacist
3018417MAMDEmergency Medicine Physician
055347NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Healthcare Emergency Medicine CurrentSince Sep 27, 2015 Accepting new patients
Connecticut Oral & Maxillofacial Surgery Centers, LLC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2022 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Sep 27, 2015 Accepting new patients
Connecticut Oral & Maxillofacial Surgery Centers, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1817 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 330-8080

546 S Broad St
Ste 2A
Meriden, CT 06450
Phone (203) 639-0800

27005 76th Ave
North New Hyde Pk, NY 11040

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1194977611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011995000",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "GERARDO",
        "middle_name": "P",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "055347",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901600443",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "3018417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.