Provider Demographics
NPI:1740284017
Name:ROBINSON, LOIS PAT
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:PAT
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 FOREST AVE
Mailing Address - Street 2:STE 125
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5423
Mailing Address - Country:US
Mailing Address - Phone:201-967-9191
Mailing Address - Fax:201-967-9302
Practice Address - Street 1:275 FOREST AVE
Practice Address - Street 2:STE 125
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5423
Practice Address - Country:US
Practice Address - Phone:201-967-9191
Practice Address - Fax:201-967-9302
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05139200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1600861OtherHEALTHSOURCE/CHUBB
NJ35408OtherNYL CARE #
NJ0201474OtherGHI PPO #
NJ0491397OtherAETNA HMO #
NJ019201300OtherAMERIHEALTH #
NJ372601OtherEMPIRE BC/BS #
NJ4089079OtherAETNA PPO #
NJ12680OtherUNIVERSITY HEALTH PLANS #
NJJ38931OtherHEALTHNET #
NJBP454OtherOXFORD PROVIDER #
NJ1600861OtherHEALTHSOURCE/CHUBB
NJ4089079OtherAETNA PPO #