Active NPI
Maximo M. Romen, MD
- Hospitalist Physician
- Woodbury, NJ
National Provider Identifier
1730167792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA05888300
- Practice address
- 509 N Broad St
Woodbury, NJ 08096-1617 - Phone
- (856) 845-0100
- NPI assigned
- Jan 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05888300 | NJ | |
| Hospitalist Physician | 208M00000X | 25MA05888300 | NJ | Primary |
Addresses
Primary practice location
509 N Broad St
Woodbury, NJ 08096-1617
Mailing address
P.O. Box 191
Rockland, DE 19723-0191
Phone (302) 651-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6926207 | 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
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1730167792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197230191",
"telephone_number": "302-651-4000",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961617",
"telephone_number": "856-845-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMEN",
"first_name": "MAXIMO",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05888300",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA05888300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6926207",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.