JACQUELYN M ROMAN (NPI# 1235746496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235746496 |
| Entity Type | Individual |
| Full Name | JACQUELYN M ROMAN |
| Credential | APN |
| Practice Address |
175 Bergen Blvd Fairview NJ 07022-1619 |
| Mailing Address |
3 University Plz Ste 205 Hackensack NJ 07601-6208 |
| Practice Telephone | 2019432900 |
| Practice Fax Number | 2019432903 |
| Mailing Telephone | 2018333000 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ0161300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 BERGEN BLVD |
| City | FAIRVIEW |
| State | NJ |
| Zip Code | 07022-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066571 | Kaitlin Lynch | Nurse Practitioner | 175 Bergen Blvd, Fairview, NJ 07022-1619 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043393085 | Advanced Physical Medicine Center, LLC | Clinic/Center | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1932125952 | Open Mri of Fairview | Clinic/Center | 178 Bergen Blvd, Fairview, NJ 07022 | 2006-07-14 |
| 1104902212 | Marianne Encarnacion | Physical Therapist | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1831275940 | David Berk | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-31 |
| 1548343585 | Michael Arber | Chiropractor | 222 Bergen Blvd, Ste 8, Fairview, NJ 07022 | 2006-10-23 |
| 1518982172 | Great Atlantic & Pacific Tea Company Inc | Pharmacy | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2006-07-13 |
| 1154599421 | Evan Reinecke | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-20 |
| 1326216813 | Max Gruenberg | Pharmacist | 425 Anderson Ave, Fairview, NJ 07022-1103 | 2008-02-18 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1780077875 | Mina Garas | Pharmacist | 374 Park Ave, Fairview, NJ 07022-1114 | 2015-03-12 |
| Find all providers in zip 07022 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| 1033733589 | Jennifer Renee Ramm | Nurse Practitioner | 1320 Mulberry Ln, Fairview, PA 16415-1562 | 2020-06-01 |
| 1053976985 | Evelyne N Epie | Nurse Practitioner | 356 Benton Ave, Fairview, TX 75069-6811 | 2019-05-06 |
| 1578058764 | Natalie Organ | Nurse Practitioner | 225 E 100 S, Fairview, UT 84629 | 2018-06-29 |
| 1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
| 1639533912 | Julie Wilson | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-04-12 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1134408461 | Sandra Sue Jones | Nurse Practitioner | 2727 Fairview Blvd, Fairview, TN 37062-9088 | 2011-08-04 |
| 1750849485 | Dee Laura Hamburg | Nurse Practitioner | 35511 County Road 134, Fairview, MT 59221-9465 | 2019-03-12 |
| 1164994406 | Stephanie Jane Perry | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2018-12-27 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.