Individual provider Active NPI

Mark Roma, VMD

  • Veterinarian
  • Toms River, NJ
National Provider Identifier
1285807149
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00314800 Issued in NJ
Practice address
2119 Whitesville Rd
Animal Hospital of North Dover
Toms River, NJ 08755-2600
Phone
(732) 370-6369
Fax
(732) 370-6371
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00314800 NJ Primary

Addresses

Primary practice location

2119 Whitesville Rd
Animal Hospital of North Dover
Toms River, NJ 08755-2600

Mailing address

2119 Whitesville Rd
Animal Hospital of North Dover
Toms River, NJ 08755-2600
Phone (732) 370-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29VI00314800NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1285807149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "address_2": "ANIMAL HOSPITAL OF NORTH DOVER",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-6369",
            "fax_number": "732-370-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "address_2": "ANIMAL HOSPITAL OF NORTH DOVER",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-6369",
            "fax_number": "732-370-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMA",
        "first_name": "MARK",
        "credential": "VMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00314800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.