Individual provider Active NPI

Cheryl Roman, APN

  • Family Nurse Practitioner
  • Middletown, NJ
National Provider Identifier
1447722095
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00865800 Issued in NJ
Practice address
15 Southview W
Middletown, NJ 07748-2416
Phone
(908) 601-7813
NPI assigned
Dec 20, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00865800 NJ Primary

Addresses

Primary practice location

15 Southview W
Middletown, NJ 07748-2416

Mailing address

15 Southview W
Middletown, NJ 07748-2416
Phone (908) 601-7813

Other practice location 1

15 Southview W
Middletown, NJ 07748-2416
Phone (908) 601-7813

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629000302 NJ Practitioner - Nurse Practitioner 5496177065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Offices of New Jersey Shore LLCGroup PAC ID 8921322520, 11 clinicians

Practice addresses (Care Compare)

1959 State Route 34
Suite 202
Wall Township, NJ 07719-9790
Phone (301) 928-1697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00865800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of New Jersey Shore, LLC CurrentSince Nov 23, 2024 Accepting new patients
Medical Office Force CurrentSince Sep 30, 2022 Accepting new patients
A Better U CurrentSince May 17, 2020 Accepting new patients
Petronilo L Seares Jr MD LLC PastSince Sep 1, 2008 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

35 Beaverson Blvd
Ste 7B
Brick, NJ 08723
Phone (732) 262-2400

1959 State Route 34
Ste 202
Wall Township, NJ 07719
Phone (732) 655-6111

Organizations & group practices 4

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1447722095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOUTHVIEW W",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482416",
            "telephone_number": "908-601-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTHVIEW W",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482416",
            "telephone_number": "908-601-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Southview W",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482416",
            "country_code": "US",
            "telephone_number": "908-601-7813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00865800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.