Individual provider Active NPI

Enrique J Valladares Romero, M.D.

  • Pediatrics Physician
  • Valhalla, NY
National Provider Identifier
1750834065
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
329056 Issued in NY
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A159420CAMDPediatrics Physician
329056NYMDPediatrics Physician
MT212199PAMDStudent in an Organized Health Care Education/Training Program

Practice roles (4 of 7)

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Jul 1, 2024 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jul 1, 2024 Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Aug 5, 2019 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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 Professional name

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

Verify at the official NPI Registry.