Robert S Patitucci, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04638400 Issued in NJ

Practice address

70 Cornwell Dr
Bridgeton, NJ 08302-3602

Phone

(856) 455-6770

Fax

(856) 455-6030

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  NPD (past)
• Peripheral Vascular Institute of Philadelphia LLC

  • Vascular-Interventional Technology Radiologic Technologist
  • Philadelphia, PA
  • NPI 1396074480
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1902807480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 TERNS LANDING RD",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083189178",
            "telephone_number": "856-455-6770",
            "fax_number": "856-455-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CORNWELL DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023602",
            "telephone_number": "856-455-6770",
            "fax_number": "856-455-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATITUCCI",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04638400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6979700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiwuna Owens
• Taylur Nicole Owens
• Kerri Panichello, LPC
• Chloe Parent
• Kwanae Parker
• Lewis Stevenson Patrick, RPH
• Peter Pham, DO
• Philip Darrigo MD PA
• Dennis Phillips, LCSW
• Physical Therapy Services Rutala, Ingemi & Barbara LLC (none)

• Family Medicine Physician in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.