Active NPI
Dina Luz Romo, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1851615652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 269247
- Practice address
- 21 Audubon Avenue
New York, NY 10032 - Phone
- (917) 923-4714
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 269247 | NY | Primary |
Addresses
Primary practice location
21 Audubon Avenue
New York, NY 10032
Mailing address
21 Audubon Avenue
New York, NY 10032
Phone (917) 923-4714
Other names 1
- Dina Luz Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170308002039 | NY | Order and Referring Only - Pediatric Medicine | 1557645686 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269247 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- dromo842198@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1851615652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 AUDUBON AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "917-923-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 AUDUBON AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "917-923-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO",
"first_name": "DINA",
"middle_name": "LUZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "269247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINA",
"last_name": "RODRIGUEZ",
"middle_name": "LUZ",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.