Individual provider Active NPI

Roman Kreyman, DC

  • Chiropractor
  • Wayne, NJ
National Provider Identifier
1740207174
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00662600 Issued in NJ
Practice address
506 Hamburg Tpke Ste 202
Wayne, NJ 07470-2069
Phone
(973) 595-1809
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14303 FL
Chiropractor 111N00000X X010776-1 NY
Chiropractor 111N00000X 38MC00662600 NJ Primary

Addresses

Primary practice location

506 Hamburg Tpke Ste 202
Wayne, NJ 07470-2069

Mailing address

61 Colonial Rd
Wayne, NJ 07470-2525
Phone (973) 595-1809

Other practice location 1

2001 Ave P
Suite A-2
Brooklyn, NY 11229
Phone (718) 376-7820

Other practice location 2

12550 Biscayne Blvd Ste 403
North Miami, FL 33181-2537
Phone (305) 705-7007

Other identifiers 3

IdentifierTypeStateIssuer
1740207174OtherINDIVIDUAL NPI
02560332MedicaidNY
1760178644OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090708000102 NJ Practitioner - Chiropractic 3173510559 Reassigns benefits to 1 organization
Practice locations: Wayne, NJ
I20230912002209 FL Practitioner - Chiropractic 3173510559 Reassigns benefits to 1 organization
Practice locations: North Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Chiropractic and Wellness Care, PCGroup PAC ID 2860753548, 2 clinicians

Practice addresses (Care Compare)

506 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2069
Phone (973) 595-1809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14303FLMDChiropractor
38MC00662600NJMDChiropractor
X010776-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health & Wellness of FL, PA Chiropractor CurrentSince Aug 23, 2023 Accepting new patients
Back to Health Chiropracitc & Wellness Chiropractor Current Accepting new patients
Physicare Multi Services LTD PastSince Apr 18, 2009 Accepting new patients
New U Physical Therapy of North Miami, PLLC PastSince Aug 28, 2022 Accepting new patients

Locations

12550 Biscayne Blvd
Ste 403
North Miami, FL 33181
Phone (305) 481-5900

506 Hamburg Tpke
Ste 202
Wayne, NJ 07470
Phone (973) 513-9335

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740207174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COLONIAL RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702525",
            "telephone_number": "973-595-1809",
            "fax_number": "973-807-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE STE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702069",
            "telephone_number": "973-595-1809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Ave P",
            "address_2": "Suite A-2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11229",
            "country_code": "US",
            "telephone_number": "718-376-7820",
            "fax_number": "718-376-7820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12550 Biscayne Blvd Ste 403",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812537",
            "country_code": "US",
            "telephone_number": "305-705-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREYMAN",
        "first_name": "ROMAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14303",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010776-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00662600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1740207174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02560332",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1760178644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.