Active NPI
Enrique J Valladares Romero, M.D.
- Pediatrics Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 329056
- Practice address
- 400 Columbus Ave Ste 200E
Valhalla, NY 10595-1392 - Phone
- (914) 490-0401
- NPI assigned
- Aug 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
NY, Pediatrics
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190905000802 | CA | Practitioner - Pediatric Medicine | 5395074074 | Reassigns benefits to 1 organization |
| I20240603004122 | NY | Practitioner - Pediatric Medicine | 5395074074 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159420 | CA | MD | Pediatrics Physician |
| 329056 | NY | MD | Pediatrics Physician |
| MT212199 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles (4 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
Ste Sc
Madera, CA 93636
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416
100 Woods Rd
#O
Valhalla, NY 10595
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A159420 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT212199 | PA | |
| Pediatrics Physician | 208000000X | 329056 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 Columbus Ave Ste 200E
Valhalla, NY 10595-1392
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 267-3998
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-3221
Other practice location 2
9300 Valley Childrens Pl # Sc05
Madera, CA 93636-8761
Phone (559) 267-3998
Other names 1
NPPES NPI Registry- Enrique J Valladares Romero
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1750834065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-267-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE STE 200E",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951392",
"telephone_number": "914-490-0401"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Valley Childrens Pl # Sc05",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936368761",
"country_code": "US",
"telephone_number": "559-267-3998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLADARES ROMERO",
"first_name": "ENRIQUE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A159420",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT212199",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "329056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ENRIQUE",
"last_name": "VALLADARES ROMERO",
"middle_name": "J",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.