Active NPI
Anibal Romero, D.D.S.,P.C.
- General Practice Dentistry
- Elmhurst, NY
National Provider Identifier
1255504569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00303544 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.