Individual provider Active NPI

Robin Annette Bergeron

  • Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1891340923
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone
(732) 745-8600
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 Primary

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901-1766

Mailing address

1023 Central Ave
Plainfield, NJ 07060-2801

Other practice location 1

294 Applegarth Rd Ste A
Monroe, NJ 08831-3809
Phone (609) 409-1363

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
I20191206000048 NJ Practitioner - Physician Assistant 6002249943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

294 Applegarth Rd
Suite a
Monroe, NJ 08831-3809
Phone (609) 409-1363

Hospital & facility affiliations

  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince Oct 15, 2019 Accepting new patients

Locations

294 Applegarth Rd
Ste A
Monroe, NJ 08831
Phone (609) 409-1363

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
#4
New Brunswick, NJ 08901

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1891340923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CENTRAL AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "294 Applegarth Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NJ",
            "postal_code": "088313809",
            "country_code": "US",
            "telephone_number": "609-409-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "ROBIN",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.