Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyungmoon Roh, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1245986140

Kyungmoon Roh, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Hackensack, New Jersey. Qualified in 2021, 5 years ago. Practices with New Jersey Healthcare Specialists PC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
5
Licensed in
NJ, NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5645 Main St, Flushing, NY 11355-5045 — (718) 670-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 680524 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 26NJ01262000 (NJ)

Record details

NPI number1245986140
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESSeptember 28, 2024
Certification dateSeptember 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New Jersey Healthcare Specialists Pc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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