Robert Desimone Functional Medicine, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ROBERT DESIMONE FUNCTIONAL MEDICINE, INC

Practice address

254 Columbia Tpke Ste 200
Florham Park, NJ 07932-1225

Phone

(973) 886-2195

NPI assigned

Mar 11, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Anthony Desimone, MDNPI 1932102589

Title

Owner

Phone

(973) 886-2195

Specialties & licenses 1

Addresses

Locations

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.

• Robert A Desimone, M.D.

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1932102589
  NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1457150492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070450508",
            "telephone_number": "973-886-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COLUMBIA TPKE STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321225",
            "telephone_number": "973-886-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24860 Burnt Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341341909",
            "country_code": "US",
            "telephone_number": "973-886-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT DESIMONE FUNCTIONAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-886-2195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Edward Ritt, M.D.
• Rivano Chiropractic Health Center LLC
• Anthony M Rivano, D.C.
• Devon Rizzo, LPC, LCADC
• Robert a. del Vento, M.D., P.a.
• Robert S. Freid M.D. P.a.
• Anisha Rodrigues, M.D.
• Simon Rodriguezlopez, ATC
• Roger Diruggiero (Morris Omni Med)
• Carla Rogers

• Medical Specialty Clinic/Center in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.