Individual provider Active NPI

Roma John, APRN, NP

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1871296525
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01460400 Issued in NJ
Practice address
2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486
Phone
(856) 691-2211
Fax
(856) 839-4128
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01460400 NJ Primary

Addresses

Primary practice location

2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

204 Grove Ave Ste G
West Deptford, NJ 08086-2557
Phone (856) 691-2211

Other practice location 2

415 Chris Gaupp Dr Ste B
Galloway, NJ 08205-4440
Phone (856) 691-2211

Other practice location 3

979 N Black Horse Pike
Williamstown, NJ 08094-1044
Phone (856) 691-2211

Other practice location 4

390 N Broadway Ste 500
Pennsville, NJ 08070-1257
Phone (856) 691-2211

Other practice location 5

2004 Bayshore Rd
Villas, NJ 08251-1815
Phone (856) 691-2211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Roma.John.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

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
I20230503000334 NJ Practitioner - Nurse Practitioner 2769847474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01460400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Pain Specialists LLC CurrentSince Apr 30, 2024 Accepting new patients
Premier Brain and Spine LLC CurrentSince Dec 1, 2024 Accepting new patients
Premier Brain and Spine, LLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients

Locations

415 Chris Gaupp Dr
Ste B
Galloway, NJ 08205
Phone (856) 896-2814

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

390 N Broadway
Ste 500
Pennsville, NJ 08070
Phone (856) 344-9090

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

2004 Bayshore Rd
Villas, NJ 08251
Phone (609) 465-1593

2466 E Chestnut Ave
Ste 2
Vineland, NJ 08361
Phone (856) 896-2814

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

204 Grove Ave
Ste G
West Deptford, NJ 08086
Phone (856) 579-8674

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1871296525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE STE 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Grove Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080862557",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Chris Gaupp Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054440",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 N Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080941044",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 N Broadway Ste 500",
            "address_purpose": "LOCATION",
            "city": "Pennsville",
            "state": "NJ",
            "postal_code": "080701257",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Bayshore Rd",
            "address_purpose": "LOCATION",
            "city": "Villas",
            "state": "NJ",
            "postal_code": "082511815",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ROMA",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01460400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Roma.John.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "2466 E Chestnut Ave Ste 2",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083618486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.