Provider Demographics
NPI:1225249097
Name:JOSEPH ROBBINS, D.O.
Entity Type:Organization
Organization Name:JOSEPH ROBBINS, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-968-8850
Mailing Address - Street 1:451 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-1553
Mailing Address - Country:US
Mailing Address - Phone:732-968-8850
Mailing Address - Fax:
Practice Address - Street 1:451 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-1553
Practice Address - Country:US
Practice Address - Phone:732-968-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1605003Medicaid
NJ462823Medicare ID - Type Unspecified
NJ1605003Medicaid