ROBERT DANIEL FULLERTON MD
NPI 1003511163
Student in an Organized Health Care Education/Training Program in Camden, NJ
About Robert Daniel Fullerton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT DANIEL FULLERTON MD (NPI 1003511163) is an individual student in an organized health care education/training program in Camden, New Jersey and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Corning Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Robert Daniel Fullerton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Robert Fullerton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Towanda, PA 18848
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1083614382 (Pennsylvania)
- 64 clinicians in this Medicare group
Troy, PA 16947
- Reassigned Medicare billing, Pennsylvania enrollment
- 62 clinicians in this Medicare group
Corning, NY 14830
- Reassigned Medicare billing, New York enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corning Hospital
Acute Care Hospitals · Corning, NYRobert Packer Hospital
Acute Care Hospitals · Sayre, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Robert Fullerton's NPI number?
The NPI number for Robert Fullerton is 1003511163. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Robert Fullerton located?
Robert Fullerton practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2352.
What is Robert Fullerton's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Robert Fullerton enrolled in Medicare?
Yes. Robert Fullerton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Robert Fullerton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Fullerton reassigns Medicare benefits to 3 organizations: Robert Packer Hospital (Towanda, PA), Troy Community Hospital Incorporated (Troy, PA) and Corning Hospital (Corning, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Robert Fullerton affiliated with any hospitals?
According to CMS data, Robert Fullerton is affiliated with Corning Hospital and Robert Packer Hospital.
When was this NPI record last updated?
The NPPES record for Robert Fullerton was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Robert Daniel Fullerton, MD · NPI 1003511163
Student in an Organized Health Care Education/Training Program provider in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1003511163 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COOPER PLZ, Camden, NJ 08103-1461
- **Phone:** (856) 342-2352
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Robert Packer Hospital (NPI 1134734528, Towanda, PA); Troy Community Hospital Incorporated (NPI 1306847926, Troy, PA); Corning Hospital (NPI 1346241973, Corning, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003511163) · Data from the CMS NPPES public registry.