Organization Active NPI

Anibal Romero, D.D.S.,P.C.

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1255504569
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANIBAL ROMERO, D.D.S.,P.C.
Practice address
4011 Warren St
Elmhurst, NY 11373-1700
Phone
(718) 426-3434
Fax
(718) 426-2114
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Anibal Romero, D.D.S.
Title
Dentist
Phone
(718) 426-3434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 031386 NY

Addresses

Primary practice location

4011 Warren St
Elmhurst, NY 11373-1700

Mailing address

4011 Warren St
Elmhurst, NY 11373-1700
Phone (718) 426-3434

Other identifiers 1

IdentifierTypeStateIssuer
00303544MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1255504569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 WARREN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731700",
            "telephone_number": "718-426-3434",
            "fax_number": "718-426-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WARREN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731700",
            "telephone_number": "718-426-3434",
            "fax_number": "718-426-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIBAL ROMERO, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-426-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "031386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.