Individual provider Active NPI

Douglas W Robinson, PA-C

  • Physician Assistant
  • West Orange, NJ
National Provider Identifier
1164443735
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00025400 Issued in NJ
Practice address
445 Pleasant Valley Way
West Orange, NJ 07052-2919
Phone
(973) 577-5200
Fax
(973) 577-5201
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102861 FL
Physician Assistant 363A00000X 25MP00025400 NJ Primary
Surgical Physician Assistant 363AS0400X 25MP00025400 NJ

Addresses

Primary practice location

445 Pleasant Valley Way
West Orange, NJ 07052-2919

Mailing address

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone (727) 461-6026

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000273 NJ Practitioner - Physician Assistant 8123024478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

89 Millburn Ave
Suite 102
Millburn, NJ 07041-1946
Phone (908) 598-9199

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102861FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Sports Medicine, Knee and Shoulder, LLC CurrentSince Jan 29, 2026 Accepting new patients
Premier Brain and Spine LLC CurrentSince Oct 22, 2022 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Oct 22, 2022 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Physician Assistant Past Accepting new patients

Locations

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

89 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (908) 598-9199

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

445 Pleasant Valley Way
West Orange, NJ 07052
Phone (862) 520-4027

Interoperability endpoints

  • Direct secure messaging: douglas.robinson.1@14248.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912
  • Direct secure messaging: douglas.robinson.1@21449.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14248/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1164443735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563395",
            "telephone_number": "727-461-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522919",
            "telephone_number": "973-577-5200",
            "fax_number": "973-577-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00025400",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00025400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.