Individual provider Active NPI

Robert K Adamczyk, PA C

  • Physician Assistant
  • Bound Brook, NJ
National Provider Identifier
1760467294
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00016400 Issued in NJ
Practice address
101 E Union Ave
Bound Brook, NJ 08805-1765
Phone
(732) 560-0490
NPI assigned
Dec 7, 2005
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00016400 NJ Primary
Physician Assistant 363A00000X C0002239 MD
Family Medicine Physician 207Q00000X 25MP00016400 NJ

Addresses

Primary practice location

101 E Union Ave
Bound Brook, NJ 08805-1765

Mailing address

1105 Cranbrook Rd
Union, NJ 07083-6328
Phone (410) 991-6280

Other practice location 1

9524 Belair Rd
Chapel View Family Care
Baltimore, MD 21236-1544
Phone (410) 529-9311

Other practice location 2

9524 Belair Rd
Chapel View Family Care
Baltimore, MD 21236-1544
Phone (410) 529-9311

Other practice location 3

150 Hinchman Ave Ste 4
Wayne, NJ 07470
Phone (973) 595-6996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000202 MD Practitioner - Physician Assistant 9739107186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00016400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebrook Family Physicians, PA Family Medicine CurrentSince Apr 13, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/gec4dOg2yghesFrkYuCFDQ-HfVUq5AqK/

Organizations & group practices 2

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1760467294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CRANBROOK RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836328",
            "telephone_number": "410-991-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051765",
            "telephone_number": "732-560-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9524 Belair Rd",
            "address_2": "Chapel View Family Care",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212361544",
            "country_code": "US",
            "telephone_number": "410-529-9311",
            "fax_number": "410-529-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9524 Belair Rd",
            "address_2": "Chapel View Family Care",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212361544",
            "country_code": "US",
            "telephone_number": "410-529-9311",
            "fax_number": "410-529-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Hinchman Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "07470",
            "country_code": "US",
            "telephone_number": "973-595-6996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMCZYK",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00016400",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MP00016400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.