Provider Demographics
NPI:1003910571
Name:DELNEGRO, ROBYN COOPERSTEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:COOPERSTEIN
Last Name:DELNEGRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SHREWSBURY PLZ # 255
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4325
Mailing Address - Country:US
Mailing Address - Phone:732-747-7679
Mailing Address - Fax:732-747-7679
Practice Address - Street 1:450 SHREWSBURY PLZ # 255
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702
Practice Address - Country:US
Practice Address - Phone:732-747-7679
Practice Address - Fax:732-747-7679
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05691400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7528108Medicaid
NJDE407936Medicare ID - Type Unspecified
NJ7528108Medicaid