Provider Demographics
NPI:1740540392
Name:ROMULO A. AROMIN, JR., MD, LLC
Entity type:Organization
Organization Name:ROMULO A. AROMIN, JR., MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROMULO
Authorized Official - Middle Name:ALCALDE
Authorized Official - Last Name:AROMIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:973-325-5925
Mailing Address - Street 1:1 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4016
Mailing Address - Country:US
Mailing Address - Phone:973-325-5925
Mailing Address - Fax:
Practice Address - Street 1:556 EAGLE ROCK AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1503
Practice Address - Country:US
Practice Address - Phone:862-210-8464
Practice Address - Fax:862-210-8453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YA0400X, 1041C0700X
NJ25MA065310002084P0800X, 2084P0802X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty