Individual provider Active NPI

Robert Nelson Platt, M.D.

  • Internal Medicine Physician
  • West Milford, NJ
National Provider Identifier
1013909803
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA32615 Issued in NJ
Practice address
1485 Union Valley Rd
Suite D
West Milford, NJ 07480-1336
Phone
(973) 728-1880
Fax
(973) 728-1559
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA32615 NJ Primary

Addresses

Primary practice location

1485 Union Valley Rd
Suite D
West Milford, NJ 07480-1336

Mailing address

1485 Union Valley Rd
Suite D
West Milford, NJ 07480-1336
Phone (973) 728-1880

Other identifiers 1

IdentifierTypeStateIssuer
3054403MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050913000739 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769415595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA32615NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Jul 30, 2016 Accepting new patients
Masker Radiology, LLC PastSince Mar 1, 2014 Accepting new patients

Locations

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

637 Route 23
Ste 100
Pompton Plains, NJ 07444
Phone (862) 297-9696

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

Interoperability endpoints

  • Direct secure messaging: robert.platt@direct.carepointhealth.org
  • Direct secure messaging: rplatt236555@direct.englewoodhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1013909803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 UNION VALLEY RD",
            "address_2": "SUITE D",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801336",
            "telephone_number": "973-728-1880",
            "fax_number": "973-728-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 UNION VALLEY RD",
            "address_2": "SUITE D",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801336",
            "telephone_number": "973-728-1880",
            "fax_number": "973-728-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA32615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Milford, NJ

Sources for this page

Verify at the official NPI Registry.