Individual provider Active NPI

Robert Austin, APN

  • Pediatric Nurse Practitioner
  • Stratford, NJ
National Provider Identifier
1497144430
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00552600 Issued in NJ
Practice address
42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone
(856) 566-7040
Fax
(856) 566-6826
NPI assigned
Jan 14, 2015
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NR12388200 NJ
Pediatric Nurse Practitioner 363LP0200X 26NJ00552600 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone (856) 566-7040

Other practice location 1

405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344
Phone (856) 582-0033

Other practice location 2

1474 Tanyard Rd Ste D102
Sewell, NJ 08080-4222
Phone (856) 566-7045

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address raustin295657@directvirtua.org
Direct Messaging Address raustin295657@directvirtua.org
Direct Messaging Address raustin295657@directvirtua.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219002456 NJ Practitioner - Nurse Practitioner 9436686177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00552600NJMDPediatric Nurse Practitioner
26NR12388200NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 11, 2025 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 11, 2025 Accepting new patients
Advocare Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

1474 Tanyard Rd
Ste D102
Sewell, NJ 08080
Phone (856) 566-7045

405 Hurffville Crosskeys Rd
Ste 203
Sewell, NJ 08080
Phone (856) 582-0033

42 E Laurel Rd
Ste 3500
Stratford, NJ 08084
Phone (856) 566-7040

Interoperability endpoints

  • Direct secure messaging: raustin295657@directvirtua.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1497144430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809344",
            "country_code": "US",
            "telephone_number": "856-582-0033",
            "fax_number": "856-582-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1474 Tanyard Rd Ste D102",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804222",
            "country_code": "US",
            "telephone_number": "856-566-7045",
            "fax_number": "856-566-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ROBERT",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NR12388200",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00552600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raustin295657@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 203",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raustin295657@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Rd Ste D102",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raustin295657@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3500",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.