ROBERT GLENN FORTIN M.D. NPI 1932178217

NPI Information

NPI: 1932178217
Provider Name: ROBERT GLENN FORTIN, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
503 CRANBURY RD
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 390-8400
Get Directions

Robert Glenn Fortin, M.D. is an adolescent medicine pediatrics in East Brunswick, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Robert Glenn Fortin, M.D. NPI is 1932178217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

503 CRANBURY RD
EAST BRUNSWICK, NJ
ZIP 08816-612
Phone: (732) 390-8400
Fax: (732) 390-8970

The enumeration date for this NPI number is 3/17/2006 and was last updated on 3/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	MA055583	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8222069	OTHER	NEW JERSEY	QUALCARE/GHI NY ID
2	1545372	OTHER	NEW JERSEY	UNITED ID
3	F06244	OTHER	NEW JERSEY	HEALTHNET ID
4	222694202	OTHER	NEW JERSEY	TAX ID
5	P2676733	OTHER	NEW JERSEY	OXFORD ID
6	MA055583	OTHER	NEW JERSEY	HIP/PHCS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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