Active NPI
Robert J. Schaffer, P.A.
- Medical Physician Assistant
- Fort Pierce, FL
National Provider Identifier
1689770182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102231
- Practice address
- 1505 Delaware Ave
Fort Pierce, FL 34950-3975 - Phone
- (772) 461-1402
- Fax
- (772) 461-9795
- NPI assigned
- Sep 15, 2006
- Last updated
- May 27, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102231 | FL | Primary |
Addresses
Primary practice location
1505 Delaware Ave
Fort Pierce, FL 34950-3975
Mailing address
4450 S Tiffany Dr
West Palm Beach, FL 33407-3241
Phone (561) 844-9443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292551600 | Medicaid | FL |
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1689770182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 S TIFFANY DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073241",
"telephone_number": "561-844-9443",
"fax_number": "561-844-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 DELAWARE AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349503975",
"telephone_number": "772-461-1402",
"fax_number": "772-461-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFFER",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292551600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.