Organization Active NPI

Phillip E Romero MD PLLC

Doing business as Phillip E. Romero, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1609391135
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
130742 Issued in NY
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as
  • Phillip E. Romero, MD Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.