Active NPI
Roma John, APRN, NP
- Nurse Practitioner
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01460400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01460400 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Pain Specialists LLC | Current | Accepting new patients | |
| Premier Brain and Spine LLC | Current | Accepting new patients | |
| Premier Brain and Spine, LLC | Nurse Practitioner | Current | 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.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1922771377
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Vineland, NJ
- NPI 1023415023
-
- Durable Medical Equipment & Medical Supplies
- Shrewsbury, NJ
- NPI 1427944156
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.
- 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.