Active NPI
Robert J Vosatka, MD PHD
- Pediatrics Physician
- Succasunna, NJ
National Provider Identifier
1700085883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA06903600
- Practice address
- 151 Route 10
Suite 105
Succasunna, NJ 07876-1452 - Phone
- (973) 584-0002
- Fax
- (973) 584-7107
- NPI assigned
- Jul 17, 2007
- Last updated
- Dec 6, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 175626 | NY | |
| Pediatrics Physician | 208000000X | 175626 | NY | |
| Pediatrics Physician | 208000000X | 25MA06903600 | NJ | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 175626 | NY |
Addresses
Primary practice location
151 Route 10
Suite 105
Succasunna, NJ 07876-1452
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080225000105 | Other | NY | FIDELIS CARE NY |
Other names 1
- Dr. Robert Vosatka
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06903600 | NJ | MD | Pediatrics Physician |
| 175626 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Pediatrics | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1700085883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ROUTE 10",
"address_2": "SUITE 105",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761452",
"telephone_number": "973-584-0002",
"fax_number": "973-584-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSATKA",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NY",
"license": "175626",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "175626",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06903600",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "175626",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE NY",
"identifier": "080225000105",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "VOSATKA",
"prefix": "DR.",
"credential": "MD PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Succasunna, NJ
- Raymond Edward Tighe, DMD
- Maureen Mary Torchia, APN
- Alexis Aubrey Treanor, LPC, ATR-BC, ACS
- Jenna Van Eps, M.ED., BCBA
- Viju Vijaysadan MD PC
- Ryan William Walter, D.M.D.
- Wendy B Long LLC (Always Best Care Serving Morris and Essex Counties)
- West Morris Dental Associates
- West Morris Dental Sleep Medicine LTD
- West Morris Foot and Ankle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.