Active NPI
Michelle Williams Robertson, MD, MPH
- Preventive Medicine/Occupational Environmental Medicine Physician
- Piscataway, NJ
National Provider Identifier
1295914430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 25MA07513600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9043403 | Medicaid | NJ |
Other names 1
- Dr. Michelle Yolanda Williams
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140702001670 | PA | Order and Referring Only - Preventive Medicine | 9830264225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07513600 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Family Medicine | Past | Accepting new patients |
| Jersey Shore Monmouth Family Medicine Group P C | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Family Medicine Physician
- Freehold, NJ
- NPI 1760438030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.