Individual provider Active NPI

Juan Abel Romero Loor Sr., PA-C

  • Allergy Physician
  • Elmhurst, NY
National Provider Identifier
1275208183
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
027010 Issued in NY
Practice address
5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone
(718) 592-3200
Fax
(718) 592-3844
NPI assigned
Aug 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 027010 NY
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X 027010 NY Primary

Addresses

Primary practice location

5910 Junction Blvd
Elmhurst, NY 11373-5156

Mailing address

5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone (718) 592-3200

Other practice location 1

33 W 46th St Fl 5
New York, NY 10036-4103
Phone (646) 663-5252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paromero@newyorkurologyspecialists.medentdirect.com Direct Alex Shteynshlyuger MD PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008001396 NY Order and Referring Only - Certified Clinical Nurse Specialist (CNS) 9032640560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: paromero@newyorkurologyspecialists.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1275208183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-592-3200",
            "fax_number": "718-592-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-592-3200",
            "fax_number": "718-592-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 46th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364103",
            "country_code": "US",
            "telephone_number": "646-663-5252",
            "fax_number": "718-285-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO LOOR",
        "first_name": "JUAN ABEL",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "027010",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "027010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paromero@newyorkurologyspecialists.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "Alex Shteynshlyuger MD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "33 W 46th St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100364103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.