Active NPIIndividual provider

Dr. Marc P Roberts, MD

Specialist in Newark, New Jersey

NPI Number1811008402
Practice location
559 Broad St, Newark, NJ 07102-4503
Fax
—
Last updated
July 8, 2007

Marc Preston Roberts is a Specialist based in Newark, NJ. Marc Preston Roberts practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Marc Preston Roberts is 1811008402 and holds a License No. 25MA03289200 (NJ). The current practice location address for Marc Preston Roberts is 559 Broad St, Newark, NJ 07102-4503 and can be reached out via phone at 973-622-3890.

Provider Profile Details

NPI Number
1811008402
Provider Name
Marc Preston Roberts
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
559 Broad St, Newark, NJ 07102-4503
Phone Number
973-622-3890
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
559 Broad St
Newark, NJ 07102-4503
City
Newark
Zip
07102-4503
Phone Number
973-622-3890
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
559 Broad St
Newark, NJ 07102-4503
City
Newark
State
NJ
Zip
07102-4503

License Information

License Number
25MA03289200
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marc P Roberts, MD?

The NPI number of Dr. Marc P Roberts, MD is 1811008402. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marc P Roberts, MD?

Dr. Marc P Roberts, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA03289200.

Where does Dr. Marc P Roberts, MD practice?

The practice location is 559 Broad St, Newark, NJ 07102-4503. The office can be reached at 973-622-3890 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811008402 directly on the NPPES registry website.

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