Active NPI
Romeo K Fernandez, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Boca Raton, FL
National Provider Identifier
1952418626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME95928
- Practice address
- 7000 W Palmetto Park Rd Ste 307
Boca Raton, FL 33433-3430 - Phone
- (561) 288-5990
- Fax
- (954) 391-5008
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 26151 | AL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME95928 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 307
Boca Raton, FL 33433-3430
Mailing address
7000 W Palmetto Park Rd Ste 307
Boca Raton, FL 33433-3430
Phone (561) 288-5990
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275996900 | Medicaid | FL | |
| 009960355 | Medicaid | AL | |
| 303912 | Other | FL | AVMED |
| 009960356 | Medicaid | AL | |
| 275996900 | Other | FL | PEDIATRICS ASSOCIATES PSN |
| 275996900 | Other | FL | PHYTRUST OF FLORIDA PSN |
| 275996900 | Other | FL | FL NETPASS |
| 56286 | Other | FL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26151 | AL | MD | Neurology with Special Qualifications in Child Neurology Physician |
| ME95928 | FL | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romeo K. Fernandez, M.D., P.a. | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
Locations
7000 W Palmetto Park Rd
Ste 307
Boca Raton, FL 33433
Phone (561) 288-5990
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Boca Raton, FL
- NPI 1578727053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1952418626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 307",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "561-288-5990",
"fax_number": "954-391-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 307",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "561-288-5990",
"fax_number": "954-391-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ROMEO",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "AL",
"license": "26151",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME95928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275996900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009960355",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "303912",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009960356",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS ASSOCIATES PSN",
"identifier": "275996900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYTRUST OF FLORIDA PSN",
"identifier": "275996900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL NETPASS",
"identifier": "275996900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56286",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.