Active NPI
Romeo Morales, MD
- Dermatology Physician
- Vestal, NY
National Provider Identifier
1275533556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 224426
- Practice address
- 200 Front St
Vestal, NY 13850-1559 - Phone
- (607) 658-1003
- Fax
- (607) 658-1006
- NPI assigned
- Jul 28, 2005
- Last updated
- Nov 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 224426 | NY | Primary |
Addresses
Primary practice location
200 Front St
Vestal, NY 13850-1559
Mailing address
346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 729-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02286015 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard D. Solomon, DO, PC | Dermatology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321660800000",
"number": "1275533556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 GRAND AVE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902580",
"telephone_number": "607-729-8156",
"fax_number": "607-729-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FRONT ST",
"city": "VESTAL",
"state": "NY",
"postal_code": "138501559",
"telephone_number": "607-658-1003",
"fax_number": "607-658-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ROMEO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2011-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "224426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02286015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.