Active NPI
Robert T Nevitt III, M.D.
- Plastic and Reconstructive Surgery Physician
- Pennington, NJ
National Provider Identifier
1134532880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 25MA11776800
- Practice address
- 1 Capital Way
Pennington, NJ 08534-2520 - Phone
- (732) 741-0970
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 35698 | OK | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 25MA11776800 | NJ | Primary |
Addresses
Primary practice location
1 Capital Way
Pennington, NJ 08534-2520
Mailing address
200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Phone (732) 426-3420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134532880 | Medicaid | PA | |
| 0913871 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720
Hospital & facility affiliations
- Hunterdon Medical Center
- Capital Health Medical Center - Hopewell
- Capital Health Regional Medical Center
- Jersey Shore University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35698 | OK | MD | Plastic Surgery Physician |
| 25MA11776800 | NJ | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Plastic Surgery Center | Plastic Surgery | Current | Accepting new patients |
| The Woods O.R., Inc. | Past | Accepting new patients |
Locations
1 Capital Way
Ste 390
Pennington, NJ 08534
200 Schulz Dr
Ste 2
Red Bank, NJ 07701
331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101
535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970
Interoperability endpoints
- rnevitt@directaddress.net
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.
-
- Plastic and Reconstructive Surgery Physician
- Red Bank, NJ
- NPI 1386613834
Plastic Surgery
-
- Ambulatory Surgical Clinic/Center
- Tinton Falls, NJ
- NPI 1952610768
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Trenton, NJ
- NPI 1275583726
-
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Flemington, NJ
- NPI 1922095116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1134532880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SCHULZ DR STE 2",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077016745",
"telephone_number": "732-426-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "732-741-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVITT",
"first_name": "ROBERT",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OK",
"license": "35698",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NJ",
"license": "25MA11776800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134532880",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0913871",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.