Individual provider Active NPI

Roberto A Solis, M.D.

  • Pulmonary Disease Physician
  • West Paterson, NJ
National Provider Identifier
1376650754
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
NJ56681 Issued in NJ
Practice address
205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671
Phone
(973) 785-7515
Fax
(973) 785-2205
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NJ56681 NJ Primary

Addresses

Primary practice location

205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671

Mailing address

205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671
Phone (973) 785-7515

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000709 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9739219205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ56681NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Aug 31, 2016 Accepting new patients

Locations

1195 Clifton Ave
Clifton, NJ 07013
Phone (201) 265-5700

871 Allwood Rd
Clifton, NJ 07012
Phone (973) 405-5163

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

220 Hamburg Tpke
Ste 3
Wayne, NJ 07470
Phone (973) 389-6090

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

205 Browertown Rd
Ste 202
Woodland Park, NJ 07424
Phone (973) 785-0102

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.

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1376650754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD",
            "address_2": "SUITE 202",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242671",
            "telephone_number": "973-785-7515",
            "fax_number": "973-785-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD",
            "address_2": "SUITE 202",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242671",
            "telephone_number": "973-785-7515",
            "fax_number": "973-785-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "ROBERTO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "NJ56681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Paterson, NJ

Sources for this page

Verify at the official NPI Registry.