NPIMap

Organization Active NPI

Robert J Agresti DO PA

  • Surgery of the Hand (Plastic Surgery) Physician
  • Verona, NJ
National Provider Identifier
1962576025
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
MB050440 Issued in NJ
Legal business name
ROBERT J AGRESTI DO PA
Practice address
1 Mount Prospect Ave
Verona, NJ 07044-2707
Phone
(973) 239-5580
Fax
(973) 239-7082
NPI assigned
Nov 20, 2006
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Robert J Agresti Jr., DONPI 1619155710
Title
Pres
Phone
(973) 239-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MB050440 NJ
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X MB050440 NJ Primary

Addresses

Primary practice location

1 Mount Prospect Ave
Verona, NJ 07044-2707

Mailing address

1 Mount Prospect Ave
Verona, NJ 07044-2707
Phone (973) 239-5580

National Provider Directory

National Provider Directory

Locations

1 Mount Prospect Ave
Verona, NJ 07044
Phone (973) 239-5580

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1962576025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOUNT PROSPECT AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442707",
            "telephone_number": "973-239-5580",
            "fax_number": "973-239-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOUNT PROSPECT AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442707",
            "telephone_number": "973-239-5580",
            "fax_number": "973-239-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J AGRESTI DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "AGRESTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "973-239-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MB050440",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "MB050440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.