Active NPI
Robert I Dennis, M.D., P.A.,
- Orthopaedic Surgery Physician
- Neptune, NJ
National Provider Identifier
1437220159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA25988
- Practice address
- 2040 6TH Ave
Suite 1 Door B
Neptune, NJ 07753-6101 - Phone
- (732) 775-5189
- Fax
- (732) 775-3065
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA25988 | NJ | Primary |
Addresses
Primary practice location
2040 6TH Ave
Suite 1 Door B
Neptune, NJ 07753-6101
Mailing address
2040 6TH Ave
Suite 1 Door B
Neptune, NJ 07753-6101
Phone (732) 775-5189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2012 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA25988 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Dennis MD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Neptune, NJ
- NPI 1023272937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437220159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 6TH AVE",
"address_2": "SUITE 1 DOOR B",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536101",
"telephone_number": "732-775-5189",
"fax_number": "732-775-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 6TH AVE",
"address_2": "SUITE 1 DOOR B",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536101",
"telephone_number": "732-775-5189",
"fax_number": "732-775-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ROBERT",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D., P.A.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA25988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.