| Tom Bui Roberts, PA | |
|
10 Forest Ave Ste 100, Paramus, NJ 07652 | |
| (210) 996-1505 | |
| Not Available |
| Full Name | Tom Bui Roberts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 10 Forest Ave Ste 100, Paramus, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104480177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brunswick Urgent Care P A | 6406808708 | 9 |
| Entity Name | Brunswick Urgent Care P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366528341 PECOS PAC ID: 6406808708 Enrollment ID: O20050215000669 |
| Entity Name | Daniel Samadi MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205851011 PECOS PAC ID: 7315211570 Enrollment ID: O20170927000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Bui Roberts, PA 273 16th St Apt 1211, Jersey City, NJ 07310-1069 Ph: (913) 522-3128 | Tom Bui Roberts, PA 10 Forest Ave Ste 100, Paramus, NJ 07652 Ph: (210) 996-1505 |
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