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JENNIFER ROMAN
NPI 1164223350
Nurse Practitioner - Family in Mount Laurel, NJ

Active since March 24, 2025PECOS Enrolled
3906 CHURCH RD, MOUNT LAUREL, NJ 08054(856) 596-1600 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 11, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Jennifer Roman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ROMAN (NPI 1164223350) is an individual family provider in Mount Laurel, New Jersey, licensed in New Jersey (26NJ15193500) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164223350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ROMAN
Location Address3906 CHURCH RDMount Laurel, NJ 08054-1108
Mailing Address132 Laurel LnWilliamstown, NJ 08094-2015
Phone(856) 596-1600
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1164223350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15193500
3906 CHURCH RD, Mount Laurel, NJ 08054
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Roman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Healthcare & Hospice, Inc.
Same address
Hospice and Palliative Medicine
3906 CHURCH RD
Mount Laurel, NJ 08054
  • Reassigned Medicare billing, New Jersey enrollment
  • 46 clinicians in this Medicare group
NPI 1023323367 (856) 596-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMARITAN HEALTHCARE & HOSPICE, INC.
Internal Medicine (Hospice and Palliative Medicine)
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 596-1600
SHEVON BORDE SMITH
Nurse Practitioner (Family)
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 699-6077
TRACIE HAWKINS MSN, APN, FNP-C
Nurse Practitioner (Family)
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 266-5260
SAMARITAN HEALTHCARE & HOSPICE INC
Hospice Care, Community Based
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 596-1600
SYDNEE MEANS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 596-1600
AVALON KRISTEN COMANZO
Nurse Practitioner
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 596-1600
SAMARITAN HOMEVISIT PHYSICIANS PC
Internal Medicine
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 552-3261
GOPI SHAH LAC
Counselor
3906 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 596-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Roman's NPI number?

The NPI number for Jennifer Roman is 1164223350. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Jennifer Roman located?

Jennifer Roman practices at 3906 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 596-1600.

What is Jennifer Roman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Roman enrolled in Medicare?

Yes. Jennifer Roman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Roman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Roman reassigns Medicare benefits to Samaritan Healthcare & Hospice, Inc. (Mount Laurel, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Roman accept?

Health plans from Oscar Health list Jennifer Roman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Roman was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.