Active NPI
Joy Graseta Robertson, M D
- Child & Adolescent Psychiatry Physician
- East Orange, NJ
National Provider Identifier
1528135258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MA57808
- Practice address
- East Orange General Hospital 33 Evergreen Place
2ND Floor Caps Program
East Orange, NJ 07018-2166 - Phone
- (973) 414-6740
- Fax
- (973) 414-6730
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MA57808 | NJ | Primary |
Addresses
Primary practice location
East Orange General Hospital 33 Evergreen Place
2ND Floor Caps Program
East Orange, NJ 07018-2166
Mailing address
39 Elliot Street
Passaic, NJ 07055-5415
Phone (973) 779-8466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5328209 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA57808 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Clinic of Passaic Inc | Current | Accepting new patients |
Locations
1451 Van Houten Ave
Clifton, NJ 07013
Phone (973) 473-2775
124 Gregory Ave
Ste 202
Passaic, NJ 07055
Phone (973) 928-7244
111 Lexington Ave
Passaic, NJ 07055
Phone (973) 471-8006
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/mhcp/r4/
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.
-
- Community/Behavioral Health Agency
- Clifton, NJ
- NPI 1619009701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528135258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ELLIOT STREET",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555415",
"telephone_number": "973-779-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST ORANGE GENERAL HOSPITAL 33 EVERGREEN PLACE",
"address_2": "2ND FLOOR CAPS PROGRAM",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182166",
"telephone_number": "973-414-6740",
"fax_number": "973-414-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JOY",
"middle_name": "GRASETA",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "MA57808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5328209",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.