Healthcare Provider Details

I. General information

NPI: 1720925100
Provider Name (Legal Business Name): DR. ROY ROMEM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL
BRONX NY
10461-2720
US

IV. Provider business mailing address

3 HADROR ST.
HOD HASHARON HASHARON
4526882
IL

V. Phone/Fax

Practice location:
  • Phone: 800-636-6683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberP141900
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: