Healthcare Provider Details

I. General information

NPI: 1639538317
Provider Name (Legal Business Name): ARIELLE ROMM P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 ROUTE 22
SPRINGFIELD NJ
07081-3110
US

IV. Provider business mailing address

90 ROUTE 22
SPRINGFIELD NJ
07081-3110
US

V. Phone/Fax

Practice location:
  • Phone: 973-467-2273
  • Fax: 973-467-5385
Mailing address:
  • Phone: 973-467-2273
  • Fax: 973-467-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP00577300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: