Provider Demographics
NPI:1336110220
Name:AROMIN, ROMULO JR (MD)
Entity Type:Individual
Prefix:
First Name:ROMULO
Middle Name:
Last Name:AROMIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 E 22ND ST APT 8A
Mailing Address - Street 2:PHYSICIAN BILLING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6124
Mailing Address - Country:US
Mailing Address - Phone:212-475-0438
Mailing Address - Fax:
Practice Address - Street 1:36 E 22ND ST APT 8A
Practice Address - Street 2:PHYSICIAN BILLING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6124
Practice Address - Country:US
Practice Address - Phone:212-475-0438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216128-12084P0802X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG36448Medicare UPIN
NJ085677Medicare ID - Type Unspecified