Individual provider Active NPI

Roger R Romero Sr., LICENSED OPTICIAN

  • Ophthalmic Technician/Technologist
  • Union City, NJ
National Provider Identifier
1780973834
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
31TD00351400 Issued in NJ
Practice address
3196 Kennedy Blvd Ste 2
Union City, NJ 07087-2468
Phone
(201) 863-9013
Fax
(201) 863-8431
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 31TD00351400 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd Ste 2
Union City, NJ 07087-2468

Mailing address

3196 Kennedy Blvd Ste 2
Union City, NJ 07087-2468
Phone (201) 863-9013

Other names 1

  • Mr. Roger Romero Sr. Professional name

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

LicenseStateTypeSpecialty
31TD00351400NJMDOphthalmic Technician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ez.MD.Optical LLC Current Accepting new patients

Locations

3196 Kennedy Blvd
Ste 2
Union City, NJ 07087
Phone (201) 604-0377

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1780973834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD STE 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872468",
            "telephone_number": "201-863-9013",
            "fax_number": "201-863-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD STE 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872468",
            "telephone_number": "201-863-9013",
            "fax_number": "201-863-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ROGER",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NJ",
            "license": "31TD00351400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "ROMERO",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "LICENCED OPTICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.