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

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Kyungmoon Roh, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hackensack, New Jersey. He graduated from nursing school in 2021 and has 5 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, Icahn School Of Medicine At Mount Sinai, Weill Medical College Of Cornell and his current practice location is 30 Prospect Ave, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-2419.

Kyungmoon Roh is licensed to practice in New York (license number 680524) 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
30 Prospect Ave,
Hackensack, NJ 07601-1915
(551) 996-2419
Not Available

Map and Direction




Provider's Profile

Full NameKyungmoon Roh
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location30 Prospect Ave, Hackensack, 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: 09/28/2024
  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)Secondary
367500000XNurse Anesthetist, Certified Registered 680524 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensack University Medical CenterHackensack, NJHospital
Ny Eye And Ear Infirmary Of Mount SinaiNew york, NYHospital
New York-presbyterian/queensFlushing, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Jersey Healthcare Specialists Pc2668385253550
Icahn School Of Medicine At Mount Sinai4385924091121
Weill Medical College Of Cornell68007090231842

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
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

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
575 Lexington Ave,
New York, NY 10022-6102

Ph: (646) 413-9909		Kyungmoon Roh, CRNA
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-2419

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hackensack, NJ

Med Murielle Pierre, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Ahmadu Tejani Jalloh, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Christopher J Klobus, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Trenasa N Cho-chun, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2419    
Jeffrey John Podlaskowich, DNAP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    Fax: 201-487-0944
Katherine Somefun, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.