Individual provider Active NPI

Robert Martin Misurell, ED.D.

  • Marriage & Family Therapist
  • West Orange, NJ
National Provider Identifier
1689687170
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00083000 Issued in NM
Practice address
609 Smith Manor Blvd
West Orange, NJ 07052-4220
Phone
(732) 245-7860
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00083000 NM Primary

Addresses

Primary practice location

609 Smith Manor Blvd
West Orange, NJ 07052-4220

Mailing address

609 Smith Manor Blvd
West Orange, NJ 07052-4220
Phone (732) 245-7860

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240309000024 NJ Practitioner - Marriage and Family Therapist 0941646285 Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

West Orange, NJ 07052
Phone (732) 245-7860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37FI00083000NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Bungalo Limited Liability Company PastSince Oct 28, 2017 Accepting new patients

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1689687170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SMITH MANOR BLVD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524220",
            "telephone_number": "732-245-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SMITH MANOR BLVD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524220",
            "telephone_number": "732-245-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISURELL",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "37FI00083000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.