Individual provider Active NPI

Robert Koernig

  • Family Nurse Practitioner
  • Little Falls, NJ
National Provider Identifier
1225405780
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00586700 Issued in NJ
Practice address
300 Main St
Unit 216
Little Falls, NJ 07424-1356
Phone
(908) 419-9964
NPI assigned
Aug 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00586700 NJ Primary

Addresses

Primary practice location

300 Main St
Unit 216
Little Falls, NJ 07424-1356

Mailing address

300 Main St
Unit 216
Little Falls, NJ 07424-1356
Phone (908) 419-9964

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
I20151023000996 NJ Practitioner - Nurse Practitioner 8921317413 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urgent Care, LLC CurrentSince Feb 4, 2022 Accepting new patients
Union Emergency Medical Associates LLC CurrentSince Nov 1, 2020 Accepting new patients
Atlantic Advanced Urgent Care CurrentSince Sep 1, 2021 Accepting new patients
Morristown Emergency Medical Associates LLC CurrentSince Sep 1, 2015 Accepting new patients
William R. Collini, M.D., P.a. PastSince Feb 4, 2022 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

181 High St
Newton, NJ 07860
Phone (973) 383-9898

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1225405780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "UNIT 216",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241356",
            "telephone_number": "908-419-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "UNIT 216",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241356",
            "telephone_number": "908-419-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNIG",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00586700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

Verify at the official NPI Registry.