Individual provider Active NPI

Romeo K Fernandez, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1952418626
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME95928 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
275996900MedicaidFL
009960355MedicaidAL
303912OtherFLAVMED
009960356MedicaidAL
275996900OtherFLPEDIATRICS ASSOCIATES PSN
275996900OtherFLPHYTRUST OF FLORIDA PSN
275996900OtherFLFL NETPASS
56286OtherFLBCBS

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

LicenseStateTypeSpecialty
26151ALMDNeurology with Special Qualifications in Child Neurology Physician
ME95928FLMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo K. Fernandez, M.D., P.a. Neurology With Special Qualifications in Child Neurology CurrentSince Apr 11, 2021 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.

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.

Verify at the official NPI Registry.