Healthcare Provider Details

I. General information

NPI: 1497405633
Provider Name (Legal Business Name): LOUVENS ROMAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 ROUTE 47 S UNIT F
RIO GRANDE NJ
08242-1411
US

IV. Provider business mailing address

1613 ROUTE 47 S UNIT F
RIO GRANDE NJ
08242-1411
US

V. Phone/Fax

Practice location:
  • Phone: 609-886-5245
  • Fax: 609-886-5296
Mailing address:
  • Phone: 609-886-5245
  • Fax: 609-886-5296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34570
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA13043400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME169323
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: