Robert Sander,MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA06942700 Issued in NJ

Legal business name

ROBERT SANDER,MD

Practice address

477 Route 10 E Ste 205
Randolph, NJ 07869-2144

Phone

(973) 584-8092

Fax

(973) 584-5586

NPI assigned

Nov 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert S Sander, M.D.

Title

Doctor

Phone

(973) 584-8092

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1003359787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 E STE 205",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692144",
            "telephone_number": "973-584-8092",
            "fax_number": "973-584-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 E STE 205",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692144",
            "telephone_number": "973-584-8092",
            "fax_number": "973-584-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SANDER,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-584-8092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06942700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Francesca Rich, FNP-BC
• Nina Rimarenko, PTA
• Savanah Rae Rivera
• Mary Elizabeth Roberts, D.D.S.
• Melissa Romano
• Shelly A Roseff, M.D.
• Edward Abraham Rosenbaum, DMD
• Joanne A Rosenblum, MSW

• Primary Care Clinic/Center in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.