Active NPI
Lorraine D Robertson, M.D.
- Family Medicine Physician
- Chester, NJ
National Provider Identifier
1063683688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA29876
- Practice address
- 21 Brown CT
Chester, NJ 07930-2481 - Phone
- (908) 879-1044
- Fax
- (908) 879-1144
- NPI assigned
- Mar 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA29876 | NJ | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MA29876 | NJ |
Addresses
Primary practice location
21 Brown CT
Chester, NJ 07930-2481
Mailing address
21 Brown CT
Chester, NJ 07930-2481
Phone (908) 879-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA29876 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1063683688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BROWN CT",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302481",
"telephone_number": "908-879-1044",
"fax_number": "908-879-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BROWN CT",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302481",
"telephone_number": "908-879-1044",
"fax_number": "908-879-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "LORRAINE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-23",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA29876",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NJ",
"license": "MA29876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.