Active NPI
Jose Ernesto Romero
- Surgical Assistant
- Brookhaven, GA
National Provider Identifier
1710367065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 15-332
- Practice address
- 10 Perimeter Summit Blvd NE Apt 2110
Brookhaven, GA 30319-1480 - Phone
- (404) 483-8549
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 15-332 | CO | Primary |
Addresses
Primary practice location
10 Perimeter Summit Blvd NE Apt 2110
Brookhaven, GA 30319-1480
Mailing address
10 Perimeter Summit Blvd NE Apt 2110
Brookhaven, GA 30319-1480
Phone (404) 483-8549
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-332 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1710367065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PERIMETER SUMMIT BLVD NE APT 2110",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191480",
"telephone_number": "404-483-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PERIMETER SUMMIT BLVD NE APT 2110",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191480",
"telephone_number": "404-483-8549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "JOSE",
"middle_name": "ERNESTO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "15-332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.