NPI 1245986140

Kyungmoon Roh, CRNA

Practitioner Certified Registered Nurse Anesthetist Hackensack, NJ

Practice location

Address: 30 Prospect Ave, Hackensack, NJ 07601-1915
Phone: (551) 996-2419
Mailing address: 575 Lexington Ave, New York, NY 10022-6102

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 680524 (NY)

Other Nurse Anesthetist, Certified Registered providers in New Jersey →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 26NJ01262000 (NJ)

Registry record

NPI: 1245986140
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2022
Record last updated: 28 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.