Individual provider Active NPI

Michelle Williams Robertson, MD, MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1295914430
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
25MA07513600 Issued in NJ
Practice address
170 Frelinghuysen Rd
Piscataway, NJ 08854-8020
Phone
(732) 445-0123
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07513600 NJ
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 25MA07513600 NJ Primary

Addresses

Primary practice location

170 Frelinghuysen Rd
Piscataway, NJ 08854-8020

Mailing address

170 Frelinghuysen Rd
Piscataway, NJ 08854-8020
Phone (732) 445-0123

Other identifiers 1

IdentifierTypeStateIssuer
9043403MedicaidNJ

Other names 1

  • Dr. Michelle Yolanda Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140702001670 PA Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 9830264225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07513600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine PastSince Jan 1, 2014 Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1295914430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FRELINGHUYSEN RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548020",
            "telephone_number": "732-445-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FRELINGHUYSEN RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548020",
            "telephone_number": "732-445-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHELLE",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07513600",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "25MA07513600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9043403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILLIAMS",
            "middle_name": "YOLANDA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.