Active NPI
Phillip E Romero MD PLLC
Doing business as Phillip E. Romero, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1609391135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 130742
- Legal business name
- PHILLIP E ROMERO MD PLLC
- Doing business as
- Phillip E. Romero, M.D., PLLC
Phillip E. Romero, MD - Practice address
- 115 E 57TH St Ste 640
New York, NY 10022-2392 - Phone
- (212) 477-9886
- Fax
- (646) 612-7947
- NPI assigned
- Aug 5, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Earl Romero, MD
- Title
- President
- Phone
- (212) 477-9886
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 130742 | NY | |
| Psychiatry Physician | 2084P0800X | 130742 | NY | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 130742 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 130742 | NY |
Addresses
Primary practice location
115 E 57TH St Ste 640
New York, NY 10022-2392
Mailing address
115 E 57TH St Ste 640
New York, NY 10022-2392
Phone (212) 477-9886
Other names 2
- Phillip E. Romero, M.D., PLLC
- Phillip E. Romero, MD
National Provider Directory
National Provider DirectoryLocations
115 E 57th St
Ste 640
New York, NY 10022
Phone (917) 414-6779
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Bronx, NY
- NPI 1669054292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609391135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 57TH ST STE 640",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222392",
"telephone_number": "212-477-9886",
"fax_number": "646-612-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 57TH ST STE 640",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222392",
"telephone_number": "212-477-9886",
"fax_number": "646-612-7947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIP E ROMERO MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-05",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-477-9886",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NY",
"license": "130742",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "130742",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "130742",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "130742",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Phillip E. Romero, M.D., PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Phillip E. Romero, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.