Active NPI
Melchor Daguro Romero, M.D.
- Diagnostic Radiology Physician
- East Brunswick, NJ
National Provider Identifier
1720023104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA03850400
- Practice address
- 483 Cranbury Rd
University Radiology Group
East Brunswick, NJ 08816-3610 - Phone
- (732) 390-0030
- Fax
- (732) 390-1856
- NPI assigned
- Jun 18, 2006
- Last updated
- Jul 3, 2013
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA03850400 | NJ | Primary |
Addresses
Primary practice location
483 Cranbury Rd
University Radiology Group
East Brunswick, NJ 08816-3610
Mailing address
579A Cranbury Rd
University Radiology Group
East Brunswick, NJ 08816-5426
Phone (732) 390-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00756767 | Medicaid | NY | |
| 0239801 | Medicaid | NJ |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Radiology LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Clinic/Center
- Edison, NJ
- NPI 1245539386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1720023104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579A CRANBURY RD",
"address_2": "UNIVERSITY RADIOLOGY GROUP",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165426",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 CRANBURY RD",
"address_2": "UNIVERSITY RADIOLOGY GROUP",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163610",
"telephone_number": "732-390-0030",
"fax_number": "732-390-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MELCHOR",
"middle_name": "DAGURO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA03850400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00756767",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.