Individual provider Active NPI

Fred S Romero, LCSW

  • Clinical Social Worker
  • Baldwin, NY
National Provider Identifier
1528114253
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072388 Issued in NY
Practice address
939 Lydia PL
Baldwin, NY 11510-5021
Phone
(516) 546-0072
Fax
(212) 360-7311
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072388 NY Primary

Addresses

Primary practice location

939 Lydia PL
Baldwin, NY 11510-5021

Mailing address

939 Lydia PL
Baldwin, NY 11510-5021
Phone (516) 546-0072

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

State licenses

LicenseStateTypeSpecialty
072388NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Counseling Center, Inc. CurrentSince Jun 1, 2013 Accepting new patients

Locations

735 E 239th St
Bronx, NY 10466
Phone (718) 325-5021

4500 Furman Ave
#4510
Bronx, NY 10470
Phone (718) 325-5021

1776 Eastchester Rd
Ste 220
Bronx, NY 10461

17541 Liberty Ave
Jamaica, NY 11433
Phone (718) 217-0444

21910 Hillside Ave
Queens Village, NY 11427
Phone (718) 217-0444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1528114253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 LYDIA PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105021",
            "telephone_number": "516-546-0072",
            "fax_number": "212-360-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 LYDIA PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105021",
            "telephone_number": "516-546-0072",
            "fax_number": "212-360-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "FRED",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.