Active NPI
Romina Andrea Cabrera-Perez, PA-C
- Medical Physician Assistant
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00843800
- Practice address
- 617 Broad St
Newark, NJ 07102-4403 - Phone
- (862) 246-7940
- Fax
- (862) 246-7941
- NPI assigned
- Jun 6, 2022
- Last updated
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 030260 | NY | |
| Medical Physician Assistant | 363AM0700X | 25MP00843800 | NJ | Primary |
Addresses
Primary practice location
617 Broad St
Newark, NJ 07102-4403
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other practice location 1
2715 30th Ave
Astoria, NY 11102-2445
Phone (718) 685-2300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | romina.cabrera_perez@tufts.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
150 Floral Ave
New Providence, NJ 07974-1557
250 Skillman St
Suite 204
Brooklyn, NY 11205-1218
309 Gold St
Apt 18C
Brooklyn, NY 11201-1285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00843800 | NJ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Hudson MD Group | Past | Accepting new patients | |
| Son Dermatology, PC | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
617 Broad St
Newark, NJ 07102
Phone (862) 246-7940
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- romina.cabrera-perez.1@2983.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Centers Urgent Care
- Internal Medicine Physician
- Middle Village, NY
- NPI 1275936932
-
dba CityMD
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
- NPI 1942921796
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Dermatology Physician
- Englewood, NJ
- NPI 1679700868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1366171340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 BROAD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071024403",
"telephone_number": "862-246-7940",
"fax_number": "862-246-7941"
}
],
"practiceLocations": [
{
"address_1": "2715 30th Ave",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111022445",
"country_code": "US",
"telephone_number": "718-685-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABRERA-PEREZ",
"first_name": "ROMINA",
"middle_name": "ANDREA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "030260",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00843800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "romina.cabrera_perez@tufts.edu",
"affiliation": "N",
"address_1": "136 Harrison Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021111817",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.