Individual provider Active NPI

Michaela Robbins, NP

  • Adult Health Nurse Practitioner
  • Mahwah, NJ
National Provider Identifier
1902235377
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
23NJ14886600 Issued in NJ
Practice address
479 State RT 17 Unit 2125
Mahwah, NJ 07430-2116
Phone
(201) 644-6006
NPI assigned
Nov 6, 2013
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 23NJ14886600 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 307180 NY
Registered Nurse 163W00000X 672270 NY

Addresses

Primary practice location

479 State RT 17 Unit 2125
Mahwah, NJ 07430-2116

Mailing address

479 State RT 17 Unit 2125
Mahwah, NJ 07430-2116
Phone (201) 644-6006

Other practice location 1

27 Brownstone Way
Upper Saddle River, NJ 07458-1303
Phone (201) 644-6006

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
672270NYMDRegistered Nurse
23NJ14886600NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michaela Robbins, DNP, LLC Adult Health CurrentSince Dec 14, 2025 Accepting new patients
Mount Sinai Medical Center Past Accepting new patients

Locations

479 State Rt 17
Unit 2125
Mahwah, NJ 07430
Phone (201) 644-6006

Interoperability endpoints

  • Direct secure messaging: michaela.robbins@1087325289709572.direct.elationemr.com

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1902235377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 STATE RT 17 UNIT 2125",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302116",
            "telephone_number": "201-644-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 STATE RT 17 UNIT 2125",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302116",
            "telephone_number": "201-644-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Brownstone Way",
            "address_purpose": "LOCATION",
            "city": "Upper Saddle River",
            "state": "NJ",
            "postal_code": "074581303",
            "country_code": "US",
            "telephone_number": "201-644-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MICHAELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "23NJ14886600",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307180",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.