Paul Robinson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

105 Lions Head Dr E
Wayne, NJ 07470-4011

Phone

(973) 809-7421

Fax

(855) 433-3970

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1669468955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LIONS HEAD DR E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704011",
            "telephone_number": "973-809-7421",
            "fax_number": "855-433-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LIONS HEAD DR E",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704011",
            "telephone_number": "973-809-7421",
            "fax_number": "855-433-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Wyckoff Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074811438",
            "country_code": "US",
            "telephone_number": "201-485-7717",
            "fax_number": "201-812-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Roberto, D.P.M.
• Melissa Roberts
• Wayne David Robertson, LCSW, LCADC
• Robin Kahwaty O D L L C
• Mamilda Robinson, DNP, APN, PMHNP-BC
• Amanda Rodriguez, LMT
• Christopher Rodriguez, APN
• David Thomas Rodriguez, MD
• Jennifer Ann Rodriguez, APN
• Raquel Rodriguez

• Psychologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.