Tom Bui Roberts, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10 Forest Ave Ste 100
Paramus, NJ 07652

Phone

(210) 996-1505

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brunswick Urgent Care P aGroup PAC ID 6406808708, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Brunswick Urgent Care P a

  • Emergency Medicine Physician
  • Franklin Park, NJ
  • NPI 1366528341
  Medicare reassignment Care Compare group
• Daniel Samadi, M.D. PC

  • Otolaryngology Physician
  • Paramus, NJ
  • NPI 1205851011
  Medicare reassignment

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1104480177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 16TH ST APT 1211",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101069",
            "telephone_number": "913-522-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 100",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "210-996-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 W 148th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660629454",
            "country_code": "US",
            "telephone_number": "913-522-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Forest Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "07652",
            "country_code": "US",
            "telephone_number": "210-996-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TOM",
        "middle_name": "BUI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Rizzo
• Chelsea Robbins, NP
• Matthew Robbins, MD
• Gloria Roberts, LMT
• Katrina Roberts, BCBA
• Amanda Robin, LPC
• Brianna Robinson
• Lois Pat Robinson
• Kimberly Robles, LMT
• Rocha Family Eye Care PC

• Physician Assistant in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.