Active NPI
Robert Brolin, MD
- Surgery Physician
- Monmouth Junction, NJ
National Provider Identifier
1700923562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA03740600
- Practice address
- 4250 US Highway 1
Suite 1
Monmouth Junction, NJ 08852-1966 - Phone
- (732) 274-3434
- Fax
- (732) 274-3435
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA03740600 | NJ | Primary |
Addresses
Primary practice location
4250 US Highway 1
Suite 1
Monmouth Junction, NJ 08852-1966
Mailing address
4250 US Highway 1
Suite 1
Monmouth Junction, NJ 08852-1966
Phone (732) 274-3434
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 |
|---|---|---|---|
| 25MA03740600 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Bariatrics PC | Surgery | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700923562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 US HIGHWAY 1",
"address_2": "SUITE 1",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088521966",
"telephone_number": "732-274-3434",
"fax_number": "732-274-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 US HIGHWAY 1",
"address_2": "SUITE 1",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088521966",
"telephone_number": "732-274-3434",
"fax_number": "732-274-3435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROLIN",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA03740600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monmouth Junction, 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.