Provider Demographics
NPI:1912132960
Name:ROMEA, MARIA SOCORRO A (PMHNP-C FNP-C ANP-BC)
Entity type:Individual
Prefix:
First Name:MARIA SOCORRO
Middle Name:A
Last Name:ROMEA
Suffix:
Gender:F
Credentials:PMHNP-C FNP-C ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 WINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1719
Mailing Address - Country:US
Mailing Address - Phone:862-210-9859
Mailing Address - Fax:
Practice Address - Street 1:125 CHUBB AVE STE 100S
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3504
Practice Address - Country:US
Practice Address - Phone:201-559-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00201100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner