Individual provider Active NPI

Paul Joseph Roberts, MD

  • Neurology Physician
  • Mendham, NJ
National Provider Identifier
1477664431
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA52740 Issued in NJ
Practice address
23 Coventry Rd
Mendham, NJ 07945-1519
Phone
(973) 222-1440
Fax
(339) 209-2240
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MA52740 NJ Primary

Addresses

Primary practice location

23 Coventry Rd
Mendham, NJ 07945-1519

Mailing address

23 Coventry Rd
Mendham, NJ 07945-1519
Phone (973) 222-1449

Other identifiers 1

IdentifierTypeStateIssuer
1513800MedicaidNJ

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
I20110112000896 NJ Practitioner - Neurology 1557423456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.12 of 100Reported as group
Quality
77.95
Promoting interoperability
0
Improvement activities
40
Cost
72.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA52740NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

369 W Blackwell St
Dover, NJ 07801
Phone (973) 361-7606

369 W Blackwell St
Ste 6
Dover, NJ 07801
Phone (973) 361-7606

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1477664431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COVENTRY RD",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451519",
            "telephone_number": "973-222-1449",
            "fax_number": "339-209-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COVENTRY RD",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451519",
            "telephone_number": "973-222-1440",
            "fax_number": "339-209-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA52740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.