Robert J Peterson, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00093400 Issued in NJ

Practice address

1374 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3701

Phone

(609) 581-5900

Fax

(609) 581-5901

NPI assigned

Sep 28, 2012

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rpeterson23133@njurology.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PSJC Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Princeton, NJ
  • NPI 1750017687
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1255682340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00093400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Perle, LSW
• Michael Perpetua, DPT
• Dahlia Persaud, NP
• Chris John Peterson, D.C.
• Rayanna Peterson
• Maria Petsos
• Taylor Phuong-Anh Pham, OD
• Laura E Phillips, BT
• Samantha Phillips
• Physical Therapy Associates of Mercer County, Inc.

• Physician Assistant in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.