1285934729 NPI number — MRS. CELENA THERESE ROMERO MBA, RD, LDN

Table of content: MRS. CELENA THERESE ROMERO MBA, RD, LDN (NPI 1285934729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285934729 NPI number — MRS. CELENA THERESE ROMERO MBA, RD, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMERO
Provider First Name:
CELENA
Provider Middle Name:
THERESE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MBA, RD, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHEAFFER
Provider Other First Name:
CELENA
Provider Other Middle Name:
THERESE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RD, LDN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285934729
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 BERNVILLE ROAD
Provider Second Line Business Mailing Address:
(ROUTE 183) ST. JOSEPH MEDICAL CENTER
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19605
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-378-2487
Provider Business Mailing Address Fax Number:
610-378-2178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 N. 6TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19603-0316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-378-2100
Provider Business Practice Location Address Fax Number:
610-208-4775
Provider Enumeration Date:
11/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DN003153 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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