Alyssa D Roman, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ01246300 Issued in NJ

Practice address

1947 White Knoll Dr
Toms River, NJ 08755-1734

Phone

(732) 616-8260

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyssa D Georgaklis Former name

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1841959103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 WHITE KNOLL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551734",
            "telephone_number": "732-616-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 WHITE KNOLL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551734",
            "telephone_number": "732-616-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ALYSSA",
        "middle_name": "D",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01246300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GEORGAKLIS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffery David Roessler, DC
• Patrick Roff
• Lindsay Rogers, MA,CCC-SLP
• Mary Grace Palo Roldan-Torretti, DPT
• Mark Roma, VMD
• Michael Robert Romano, BCBA
• Angelica Romero
• Mary Rometti, MD
• Jose E Romillo, MD
• Ron Rotem D.D.S., P.C.

• Acute Care Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.