Individual provider Active NPI

Colette Denise Romeo, M.D.

  • Dermatopathology (Pathology) Physician
  • Pompano Beach, FL
National Provider Identifier
1932360849
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
ME108023 Issued in FL
Practice address
895 SW 30TH Ave
Suite 101, Dermpath Diagnostics
Pompano Beach, FL 33069-4887
Phone
(800) 330-6770
Fax
(954) 633-3217
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD436150 PA
Dermatopathology (Pathology) Physician 207ZD0900X BP10034758 TX
Dermatopathology (Pathology) Physician 207ZD0900X ME108023 FL Primary

Addresses

Primary practice location

895 SW 30TH Ave
Suite 101, Dermpath Diagnostics
Pompano Beach, FL 33069-4887

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3676
Phone (972) 934-4392

Other practice location 1

895 SW 30th Ave
Suite 101, Dermpath Diagnostics
Pompano Beach, FL 33069-4887
Phone (800) 330-6770

Other names 1

  • Colette Denise Terry Former 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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108023FLMDDermatopathology (Pathology) Physician
MD436150PAMDDermatopathology (Pathology) Physician
BP10034758TXMDDermatopathology (Pathology) Physician

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1932360849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "telephone_number": "972-934-4392",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE",
            "address_2": "SUITE 101, DERMPATH DIAGNOSTICS",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887",
            "telephone_number": "800-330-6770",
            "fax_number": "954-633-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 SW 30th Ave",
            "address_2": "Suite 101, Dermpath Diagnostics",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330694887",
            "country_code": "US",
            "telephone_number": "800-330-6770",
            "fax_number": "954-633-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "COLETTE",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD436150",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "BP10034758",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME108023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "TERRY",
            "middle_name": "DENISE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.