Dr Jacqueline Romero DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR JACQUELINE ROMERO DO PA

Practice address

11181 Health Park Blvd
Suite 2260
Naples, FL 34110-5738

Phone

(239) 514-7315

Fax

(239) 514-7304

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Romero, D.O.NPI 1023041761

Title

Physician Owner

Phone

(239) 514-7315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline N Romero, DO

  • Family Medicine Physician
  • Naples, FL
  • NPI 1023041761
  Medicare reassignment NPD Authorized official
• Paul M Stein, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1649351966

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1457786790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "SUITE 2260",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-514-7315",
            "fax_number": "239-514-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "SUITE 2260",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-514-7315",
            "fax_number": "239-514-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JACQUELINE ROMERO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "239-514-7315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.