Krystal Theresa Roames, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103022 Issued in NY

Practice address

55 Glenwood Ave Apt 9H
East Orange, NJ 07017-1556

Phone

(718) 688-9217

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athenapsych LLCGroup PAC ID 0446648893, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athenapsych LLC

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1679244768
  Medicare reassignment Care Compare group NPD
• Athenapsych LLC

  • Case Management Agency
  • New York, NY
  • NPI 1295625788
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1073021598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GLENWOOD AVE APT 9H",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171556",
            "telephone_number": "718-688-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GLENWOOD AVE APT 9H",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171556",
            "telephone_number": "718-688-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAMES",
        "first_name": "KRYSTAL",
        "middle_name": "THERESA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rivera
• Nathalee Rivera
• Priscilla Ann Rivera, APN
• Jennifer Rizzo
• RN Staff
• Natalie Y Roberts-Moore, MS, RD
• Loraine S Roberts
• Joy Graseta Robertson, M D
• Amaya Michelle Robin
• Evette Diane Robinson

• Social Worker in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.