MEDICARE: ROMAN KREYMAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH14303	FL
2	111N00000X	Chiropractor	X010776-1	NY
3	111N00000X	Chiropractor	38MC00662600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1740207174	OTHER	INDIVIDUAL NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1760178644	OTHER	GROUP NPI

General Provider Information

NPI Number	:	1740207174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMAN KREYMAN DC

Provider Business Mailing Address
First Line	:	61 COLONIAL RD
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2525
Country	:	US
Telephone Number	:	973-595-1809
Fax Number	:	973-807-9355

Provider Business Practice Location Address
First Line	:	506 HAMBURG TPKE STE 202
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2069
Country	:	US
Telephone Number	:	973-595-1809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	04/09/2025

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Directions to “ ROMAN KREYMAN DC” Practice Location

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