Robert A Ivker, DO

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MB06193300 Issued in NJ

Practice address

375 Mount Pleasant Ave Ste 250
West Orange, NJ 07052-2751

Phone

(973) 323-1300

Fax

(973) 323-1319

NPI assigned

Feb 22, 2007

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

Specialty

Radiation Oncology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.ivker.1@5580.direct.athenahealth.com

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.

• Summit Medical Group PA

  • Multi-Specialty Clinic/Center
  • Berkeley Heights, NJ
  • NPI 1942254347
  Medicare reassignment Care Compare group NPD
• New Jersey Urology LLC

  • Urology Physician
  • Bloomfield, NJ
  • NPI 1588822423

  Radiation Oncology

  Medicare reassignment NPD
• East Coast Radiation Oncology Associates Newark Beth Israel, PA

  • Radiation Oncology Physician
  • Newark, NJ
  • NPI 1578698601
  NPD (past) Authorized official
• Trinitas Radiation Oncology Assoc, PA

  • Radiation Oncology Physician
  • Elizabeth, NJ
  • NPI 1952592214
  NPD (past) Authorized official
• Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1043930555
  NPD
• Urology Consultants PA

  • Urology Physician
  • Belleville, NJ
  • NPI 1609982099
  NPD (past)
• Summit Medical Group, Inc

  dba St. Elizabeth Physicians

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1922133057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE STE 250",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522751",
            "telephone_number": "973-323-1300",
            "fax_number": "973-323-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVKER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MB06193300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6676308",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rivker10360@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "375 Mount Pleasant Ave",
            "address_2": "Suite 251",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070522724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Farida Iqbal-Hussain, MD
• Ira M Sonet DMD, PA.
• Isaac Kramer, MD, P.C.
• Michelle Itidiare
• Kristin Marie Iturbides, MS CCC-SLP
• Corine Iwuala
• Joycelene Iwuala
• Jack Gold Surgical Appliances, Inc. (AlliedOP)
• Marianne Jacob
• Sonia Jacob

• Radiation Oncology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Radiation Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.