Organization Active NPI

Janet a Robertson MD PA

  • Internal Medicine Physician
  • Bernardsville, NJ
National Provider Identifier
1437369717
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04897400 Issued in NJ
Legal business name
JANET A ROBERTSON MD PA
Practice address
169 Mine Brook Rd
Bernardsville, NJ 07924-2109
Phone
(908) 766-6110
Fax
(908) 766-0569
NPI assigned
May 23, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Janet A Robertson, M.D.NPI 1871649582
Title
President
Phone
(908) 766-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04897400 NJ Primary

Addresses

Primary practice location

169 Mine Brook Rd
Bernardsville, NJ 07924-2109

Mailing address

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-6110

Other identifiers 1

IdentifierTypeStateIssuer
1871649582OtherNJNPI (TYPE I ENTITY)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000013 NJ Part B Supplier - Clinic/Group Practice 9739331802 Receives reassigned benefits from 1 practitioner
Practice locations: Bernardsville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0944266Janet a Robertson MD169 Mine Brook Road, Bernardsville, NJ 07924Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

169 Mine Brook Rd
Bernardsville, NJ 07924
Phone (908) 221-1132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1437369717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242125",
            "telephone_number": "908-766-6110",
            "fax_number": "908-766-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MINE BROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242109",
            "telephone_number": "908-766-6110",
            "fax_number": "908-766-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET A ROBERTSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-766-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04897400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (TYPE I ENTITY)",
            "identifier": "1871649582",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.