Individual provider Active NPI

Charles Nicholas Krome, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Somers Point, NJ
National Provider Identifier
1669426219
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MB07964500 Issued in NJ
Practice address
24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone
(609) 927-1991
Fax
(609) 926-0075
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS-010745-L PA
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB07964500 NJ Primary

Addresses

Primary practice location

24 Macarthur Blvd
Somers Point, NJ 08244-1776

Mailing address

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Other identifiers 1

IdentifierTypeStateIssuer
7618470OtherAETNA PIN

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
I20050913000727 NJ Practitioner - Sports MedicinePractitioner - Family PracticePractitioner - Orthopedic Surgery 2860425691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Orthopaedic University Associates PAGroup PAC ID 1254308604, 10 clinicians
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

18 E Jimmie Leeds Rd
Galloway, NJ 08205-9510
Phone (609) 927-1991

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-010745-LPAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopaedic University Associates PA CurrentSince Sep 6, 2016 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Precision Orthopaedic Specialties, Inc. Sports Medicine Past Accepting new patients

Locations

9 Stites Ave
Cape May Court House, NJ 08210
Phone (609) 463-9553

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCEDD

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1669426219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROME",
        "first_name": "CHARLES",
        "middle_name": "NICHOLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS-010745-L",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB07964500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7618470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.