Edgar W Robertson, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

37083 Issued in MA

Practice address

6 Essex Center Dr
Suite 307
Peabody, MA 01960-2910

Phone

(978) 532-8010

Fax

(978) 532-5147

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essex Neurological Associates PC

  • Neurology Physician
  • Peabody, MA
  • NPI 1386661122
  Medicare reassignment NPD
• Essex Neurological Associates

  • Neurology Physician
  • Peabody, MA
  • NPI 1003208216
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1003885203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-532-8010",
            "fax_number": "978-532-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-532-8010",
            "fax_number": "978-532-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "EDGAR",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "37083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022893",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Robbins, M.D.
• Robert G. Stein, D.M.D., PC
• Elise Roberts, FNP-BC
• Julianna Marie Roberts, CPNP-PC
• Merinda Grace Roberts
• Sarah Robertson
• Kate C Robinson, BCBA
• Margaret Ann Robinson, D.O.
• Stephanie Michelle Rockett, LICSW
• Rosemary Gomes Rodas, LCSW

• Neurology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Neurology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.