Active NPI
Madeline L. Romeu, O.D.
- Optometrist
- West New York, NJ
National Provider Identifier
1235125113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00365600
- Practice address
- 6408 Bergenline Ave
West New York, NJ 07093-1660 - Phone
- (201) 868-3603
- Fax
- (201) 868-4074
- NPI assigned
- Sep 26, 2005
- Last updated
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00365600 | NJ | Primary |
Addresses
Primary practice location
6408 Bergenline Ave
West New York, NJ 07093-1660
Mailing address
6408 Bergenline Ave
West New York, NJ 07093-1660
Phone (201) 868-3603
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4549634 | Other | NJ | AETNA |
| 808 | Other | NJ | DAVIS VISION |
| 222292763 | Other | NJ | HORIZON HEALTHCARE |
| 222292763 | Other | NJ | PACS |
| 222292763 | Other | NJ | VISION SERVICE PLAN |
| P625333 | Other | NJ | OXFORD |
| 2969602 | Other | NJ | NJ MEDICAID |
| 222292763 | Other | NJ | UNITED HEALTHCARE |
| 2K6954 | Other | NJ | HEALTHNET |
| 36372 | Other | NJ | AETNA |
| 6416662 | Other | NJ | CIGNA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1235125113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6408 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931660",
"telephone_number": "201-868-3603",
"fax_number": "201-868-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931660",
"telephone_number": "201-868-3603",
"fax_number": "201-868-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMEU",
"first_name": "MADELINE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00365600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4549634",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "808",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "222292763",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACS",
"identifier": "222292763",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "222292763",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P625333",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ MEDICAID",
"identifier": "2969602",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "222292763",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K6954",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "36372",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6416662",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.