Johnson, Robert

Johnson, Robert is an individual health care provider with primary practice located at 90 Bergen St Suite 4300, Newark NJ 07103-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Johnson, Robert can be contacted via phone (973) 972-2100.

Contact Information

Primary practice address
90 Bergen St Suite 4300 Newark NJ 07103-2425
Phone: (973) 972-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA02744100 New Jersey
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 118888-1 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA02744100 New Jersey

Profile Details

NPI number 1134149230
LBN Legal business name Johnson, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134149230 NPPES
New York MEDICAID 03824935
New York MEDICAID 0853909

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