Individual provider Active NPI

Nicholas Alexander Romanoff, MD

  • Allergy Physician
  • Cherry Hill, NJ
National Provider Identifier
1316903313
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MA25049 Issued in NJ
Practice address
1034 E Route #70
Cherry Hill, NJ 08034
Phone
(856) 429-4922
Fax
(856) 429-7780
NPI assigned
Apr 26, 2006
Last updated
Nov 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MA25049 NJ Primary

Addresses

Primary practice location

1034 E Route #70
Cherry Hill, NJ 08034

Mailing address

1034 E RT70
Cherry Hill, NJ 08034
Phone (856) 429-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000053 NJ Practitioner - Allergy/Immunology 0749315273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1034 Route 70 E
Cherry Hill, NJ 08034-2400
Phone (856) 429-4922

1750 Zion Rd
Northfield, NJ 08225-1844
Phone (609) 641-4947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA25049NJMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Allergy Associates P.a. Allergy CurrentSince Feb 3, 2010 Accepting new patients

Locations

70 Kingston Dr
Cherry Hill, NJ 08034
Phone (856) 429-4922

1750 Zion Rd
Northfield, NJ 08225
Phone (609) 641-4947

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1316903313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 E RT70",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-429-4922",
            "fax_number": "856-429-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 E ROUTE #70",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-429-4922",
            "fax_number": "856-429-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOFF",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "MA25049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.