Provider Demographics
NPI:1134409014
Name:SALAS, ROBIN C (APN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:C
Last Name:SALAS
Suffix:
Gender:
Credentials:APN
Other - Prefix:MISS
Other - First Name:ROBIN
Other - Middle Name:C
Other - Last Name:KANIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2712
Mailing Address - Country:US
Mailing Address - Phone:908-377-5187
Mailing Address - Fax:
Practice Address - Street 1:2 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2712
Practice Address - Country:US
Practice Address - Phone:908-377-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00336800363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health