Robert Marcus Kerchofer, PA-C
Individual provider Active NPI Physician Assistant · JB MDL, NJ
NPI 1154766137 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1154766137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3458 Neely Rd
JB MDL, NJ 08641-5312 - Phone
- (609) 754-9297
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3458 Neely Rd
JB MDL, NJ 08641-5312
Mailing address
3458 Neely Rd
JB MDL, NJ 08641-5312
Phone (609) 754-9297
Other providers in JB MDL, NJ
- Nicole Lynn Hawley
- Susan Jill Hicks
- Noana Issar-Grill
- Crystal Kellert
- Marcelle Yvonne Kendrick
- Erin Knouse
- Kristina Eileen Krasznai
- Gregory James Lehrer
- Rachel Posner Lemay
- Ashley Lock
All providers in JB MDL, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.