Kyungmoon Roh, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jersey City, NJ

Kyungmoon Roh, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jersey City, New Jersey. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice New Jersey Healthcare Specialists Pc, East Manhattan Anesthesia Partners, Llc. and his current practice location is 355 Grand St, Jersey City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 915-2405.

Kyungmoon Roh is licensed to practice in New Jersey (license number 26NJ01262000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245986140.

Contact Information

Kyungmoon Roh, CRNA
355 Grand St,
Jersey City, NJ 07302-4321
(201) 915-2405
Not Available



Provider's Profile

Full NameKyungmoon Roh
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location355 Grand St, Jersey City, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyungmoon Roh graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1245986140
  • Provider Enumeration Date: 03/01/2022
  • Last Update Date: 06/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991191405
  • Enrollment ID: I20220411001092

Medical Identifiers

Medical identifiers for Kyungmoon Roh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245986140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NJ01262000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack University Medical CenterHackensack, NJHospital
Ny Eye And Ear Infirmary Of Mount SinaiNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Jersey Healthcare Specialists Pc2668385253554
East Manhattan Anesthesia Partners, Llc.933520705938

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyungmoon Roh allows following entities to bill medicare on his behalf.
Entity NameNew Jersey Healthcare Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174585780
PECOS PAC ID: 2668385253
Enrollment ID: O20031110000555

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Entity NamePrime Healthcare Services - St Mary's Passaic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730508250
PECOS PAC ID: 6305066911
Enrollment ID: O20141031000263

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyungmoon Roh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyungmoon Roh, CRNA
6400 Jefferson St Apt 401,
West New York, NJ 07093-5353

Ph: (646) 413-9909
Kyungmoon Roh, CRNA
355 Grand St,
Jersey City, NJ 07302-4321

Ph: (201) 915-2405

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Nurse Anesthetist, Certified Registered Nurses in Jersey City, NJ

Lynne Cartoccio,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2000    
Evelyn Coronado, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2000    Fax: 201-915-2701
Fred Prendergass, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2405    
Donna-vivian V De Belen, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2405    
Benedicta O Espinosa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2000    Fax: 201-915-2701
Allison Rose Roman, DNP, APN-CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2000    

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