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Kelly E Roman

Peer Specialist in Piscataway, NJ. Individual provider (NPI-1).

NPI number1063129484
StatusActive
Last updated in NPPESNov 4, 2022

Details

NPI
1063129484
Entity type
Individual (NPI-1)
Name
Kelly E Roman
Sex
Female
Sole proprietor
No
Enumeration date
Nov 4, 2022
Certification date
Nov 4, 2022
Last updated
Nov 4, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist123456NJYes

Practice location

30 Knightsbridge Rd Ste 625
Piscataway, NJ 08854-3948

Phone 732-235-3289

Mailing address

671 Hoes Ln W
Piscataway, NJ 08854-8021

Phone 732-235-5000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Piscataway, NJ

All 6 Peer Specialist providers in Piscataway · All 1,667 providers in Piscataway

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