Organization Active NPI

Gonzalo Romero, MD PC

  • Surgery Physician
  • Reston, VA
National Provider Identifier
1649597337
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101-019630 Issued in VA
Legal business name
GONZALO ROMERO, MD PC
Practice address
1860 Town Center Dr.
Suite 350
Reston, VA 20190-5912
Phone
(703) 698-0660
Fax
(703) 698-0660
NPI assigned
Apr 21, 2010
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Dr. Gonzalo Romero, MD
Title
Owner
Phone
(703) 698-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101-019630 VA Primary

Addresses

Primary practice location

1860 Town Center Dr.
Suite 350
Reston, VA 20190-5912

Mailing address

1860 Town Center Dr.
Suite 350
Reston, VA 20190-5912
Phone (703) 698-0660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1649597337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR.",
            "address_2": "SUITE 350",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912",
            "telephone_number": "703-698-0660",
            "fax_number": "703-698-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR.",
            "address_2": "SUITE 350",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912",
            "telephone_number": "703-698-0660",
            "fax_number": "703-698-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO ROMERO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-698-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101-019630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.