Individual provider Active NPI

Romina Andrea Cabrera-Perez, PA-C

  • Medical Physician Assistant
  • Newark, NJ
National Provider Identifier
1366171340
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00843800 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207003487 NY Practitioner - Physician Assistant 5890144406 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MP00843800NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 17, 2024 Accepting new patients
Hudson MD Group Past Accepting new patients
Son Dermatology, PC PastSince Jul 20, 2009 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.