Individual provider Active NPI

Robin Osorio, PA

  • Physician Assistant
  • Verona, NJ
National Provider Identifier
1801036595
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MP000025 Issued in NJ
Practice address
825 Bloomfield Ave Ste LL-1
Verona, NJ 07044-1366
Phone
(973) 233-4493
Fax
(732) 334-5059
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MP000025 NJ Primary

Addresses

Primary practice location

825 Bloomfield Ave Ste LL-1
Verona, NJ 07044-1366

Mailing address

825 Bloomfield Ave Ste LL-1
Verona, NJ 07044-1366
Phone (973) 233-4493

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000911 NJ Practitioner - Physician Assistant 5799732400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

Practice addresses (Care Compare)

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MP000025NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Collini, M.D., P.a. Past Accepting new patients

Organizations & group practices 5

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1801036595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BLOOMFIELD AVE STE LL-1",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441366",
            "telephone_number": "973-233-4493",
            "fax_number": "732-334-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BLOOMFIELD AVE STE LL-1",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441366",
            "telephone_number": "973-233-4493",
            "fax_number": "732-334-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "ROBIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.