Individual provider Active NPI

Jacqueline Romero, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Marlboro, NJ
National Provider Identifier
1912356270
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA11369200 Issued in NJ
Practice address
479 County Road 520 Ste B101
Marlboro, NJ 07746-1089
Phone
(732) 561-5120
NPI assigned
Jun 8, 2016
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT210828 PA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA11369200 NJ Primary

Addresses

Primary practice location

479 County Road 520 Ste B101
Marlboro, NJ 07746-1089

Mailing address

479 County Road 520 Ste B101
Marlboro, NJ 07746-1089
Phone (732) 561-5120

Other practice location 1

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220803001027 NJ Practitioner - EpileptologistsPractitioner - Neurology 7315329695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EpileptologistsAlso: Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

479 County Rd
520 Suite 101
Marlboro, NJ 07746-1085
Phone (732) 856-5999

633 Route 37 W
Toms River, NJ 08755-8007
Phone (732) 240-4787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT210828PAMDPediatrics Physician
25MA11369200NJMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amor Mehta MD - Neurology Center for Epilepsy and Seizures, LLC CurrentSince Aug 22, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 18, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 18, 2024 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

479 County Road 520
Ste B101
Marlboro, NJ 07746
Phone (732) 800-4587

633 Route 37 W
Toms River, NJ 08755
Phone (732) 240-4787

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1912356270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520 STE B101",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461089",
            "telephone_number": "732-561-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520 STE B101",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461089",
            "telephone_number": "732-561-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Erie Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341011",
            "country_code": "US",
            "telephone_number": "215-427-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT210828",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA11369200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.