Individual provider Active NPI

Marianella Romero-Zamora, DDS

  • Dentist
  • Boston, MA
National Provider Identifier
1316202385
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL11603 Issued in MA
Practice address
100 E Newton St
RM G-401
Boston, MA 02118-2308
Phone
(617) 638-4705
Fax
(617) 638-4713
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL11603 MA Primary

Addresses

Primary practice location

100 E Newton St
RM G-401
Boston, MA 02118-2308

Mailing address

50 Sherman Rd
Apt/Suite
Chestnut Hill, MA 02467-3141
Phone (203) 764-0442

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DL11603MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marianella Romero DMD PLLC CurrentSince Dec 6, 2022 Accepting new patients
Trustees of Boston University Past Accepting new patients

Locations

1261 Furnace Brook Pkwy
Ste 28
Quincy, MA 02169
Phone (617) 471-8355

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1316202385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHERMAN RD",
            "address_2": "APT/SUITE",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673141",
            "telephone_number": "203-764-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "RM G-401",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-4705",
            "fax_number": "617-638-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-ZAMORA",
        "first_name": "MARIANELLA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.