Darrell E Roberson, SPECIALIST
Specialist in Newark, New Jersey
1811426133- Practice location
- 243 Halsey St Apt 5C, Newark, NJ 07102-3750
- Phone
- 917-749-9257
- Fax
- —
- Last updated
- June 9, 2017
Darrell Eugene Roberson is a Specialist based in Newark, NJ. Darrell Eugene Roberson practices in Newark, NJ and has the professional credentials of SPECIALIST. The NPI Number for Darrell Eugene Roberson is 1811426133 and holds a License No. 1136412171 (NY). The current practice location address for Darrell Eugene Roberson is 243 Halsey St Apt 5C, Newark, NJ 07102-3750 and can be reached out via phone at 917-749-9257.
Provider Profile Details
- NPI Number
- 1811426133
- Provider Name
- Darrell Eugene Roberson
- Credential
- SPECIALIST
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 243 Halsey St Apt 5C, Newark, NJ 07102-3750
- Phone Number
- 917-749-9257
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 9, 2017
- Last Update Date
- June 9, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 243 Halsey St Apt 5C
Newark, NJ 07102-3750 - City
- Newark
- State
- New Jersey
- Zip
- 07102-3750
- Phone Number
- 917-749-9257
Provider Business Mailing Address Details
- Address
- 243 Halsey St Apt 5C
Newark, NJ 07102-3750 - City
- Newark
- State
- NJ
- Zip
- 07102-3750
- Phone Number
- 917-749-9257
License Information
- License Number
- 1136412171
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Nita Modi, MDSpecialist · NPI 1023016771
- Dr. Roger Cooper, MDSpecialist · NPI 1306807938
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Frequently Asked Questions
What is the NPI number of Darrell E Roberson, SPECIALIST?
The NPI number of Darrell E Roberson, SPECIALIST is 1811426133. It was assigned on June 9, 2017 and is currently active in the NPPES registry.
What is the specialty of Darrell E Roberson, SPECIALIST?
Darrell E Roberson, SPECIALIST is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1136412171.
Where does Darrell E Roberson, SPECIALIST practice?
The practice location is 243 Halsey St Apt 5C, Newark, NJ 07102-3750. The office can be reached at 917-749-9257 (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 1811426133 directly on the NPPES registry website.