Individual provider Active NPI

Robert Codjoe Nii, P. A

  • Medical Physician Assistant
  • Parsippany, NJ
National Provider Identifier
1124254107
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00070000 Issued in NJ
Practice address
200 Route 46
Parsippany, NJ 07054-2313
Phone
(973) 882-0444
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00070000 NJ Primary

Addresses

Primary practice location

200 Route 46
Parsippany, NJ 07054-2313

Mailing address

34 Mill Brook Rd
Piscataway, NJ 08854-2311
Phone (732) 271-1926

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1124254107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MILL BROOK RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542311",
            "telephone_number": "732-271-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542313",
            "telephone_number": "973-882-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NII",
        "first_name": "ROBERT",
        "middle_name": "CODJOE",
        "credential": "P. A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00070000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.