Individual provider Active NPI

Ashley Orielle Roane, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Deptford, NJ
National Provider Identifier
1679117774
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00978100 Issued in NJ
Practice address
1511 Clements Bridge Rd
Deptford, NJ 08096-3007
Phone
(856) 845-9400
NPI assigned
Oct 31, 2019
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00978100 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00978100 NJ Primary

Addresses

Primary practice location

1511 Clements Bridge Rd
Deptford, NJ 08096-3007

Mailing address

801 W Park Ave Apt 18C
Clementon, NJ 08021-3632
Phone (609) 941-6133

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
I20191127000221 NJ Practitioner - Nurse Practitioner 9739512047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Medical Care,PCGroup PAC ID 0941274716, 12 clinicians
Extraordinary MindsGroup PAC ID 8224495924, 2 clinicians

Practice addresses (Care Compare)

100 Belchase Dr
Suite 101
Matawan, NJ 07747-9728
Phone (732) 707-4100

532 Old Marlton Pike W
Suite 510
Evesham, NJ 08053-9999
Phone (856) 242-2121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Medical Care,PC CurrentSince Jan 17, 2022 Accepting new patients
Holmdel Physician Associates CurrentSince Nov 24, 2020 Accepting new patients
Extraordinary Minds Psychiatric/Mental Health CurrentSince Mar 19, 2023 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

532 Marlton Pike W
Marlton, NJ 08053
Phone (856) 242-2121

100 Belchase Dr
Ste 101
Matawan, NJ 07747
Phone (732) 290-1660

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 3

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1679117774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PARK AVE APT 18C",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080213632",
            "telephone_number": "609-941-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CLEMENTS BRIDGE RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963007",
            "telephone_number": "856-845-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROANE",
        "first_name": "ASHLEY",
        "middle_name": "ORIELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00978100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00978100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

Verify at the official NPI Registry.