Provider Demographics
NPI:1427091537
Name:L PAT ROBINSON MD PA
Entity type:Organization
Organization Name:L PAT ROBINSON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-967-9191
Mailing Address - Street 1:275 FOREST AVENUE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:201-967-9191
Mailing Address - Fax:
Practice Address - Street 1:275 FOREST AVENUE
Practice Address - Street 2:SUITE 125
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-967-9191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05139200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0433507001OtherAMERIHEALTH GROUP # HMO
NJDE6316OtherRR MDCR GROUP #
NJ811019OtherAMERIHEALTH GROUP # PPO
NJ811019OtherAMERIHEALTH GROUP # PPO