ROBERT DESIMONE FUNCTIONAL MEDICINE, INC
NPI 1457150492
Clinic/Center - Medical Specialty in Florham Park, NJ

Active since March 11, 2025
254 COLUMBIA TPKE STE 200, FLORHAM PARK, NJ 07932(973) 886-2195 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Robert Desimone Functional Medicine, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT DESIMONE FUNCTIONAL MEDICINE, INC (NPI 1457150492) is a healthcare organization registered as a medical specialty in Florham Park, New Jersey and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Bonita Springs and lists Robert Anthony Desimone, Owner, as its authorized official.

NPPES Registry Identity

NPI1457150492
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameROBERT DESIMONE FUNCTIONAL MEDICINE, INC
Location Address254 COLUMBIA TPKE STE 200Florham Park, NJ 07932-1225
Mailing AddressPo Box 508Montville, NJ 07045-0508 · (973) 886-2195
Organization SubpartNo
Authorized OfficialRobert Anthony DesimoneOwner · (973) 886-2195
Enumeration DateMarch 11, 2025
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1457150492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
254 COLUMBIA TPKE STE 200, Florham Park, NJ 07932

Secondary Practice Location 1

Location 124860 Burnt Pine DrBonita Springs, FL 34134-1909 · Phone (973) 886-2195

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
254 COLUMBIA TPKE STE 200
FLORHAM PARK, NJ 07932

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 Desimone Functional Medicine, Inc's NPI number?

The NPI number for Robert Desimone Functional Medicine, Inc is 1457150492. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Robert Desimone Functional Medicine, Inc located?

Robert Desimone Functional Medicine, Inc is located at 254 Columbia Tpke Ste 200, Florham Park, NJ 07932. The listed phone number is (973) 886-2195.

What is Robert Desimone Functional Medicine, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Robert Desimone Functional Medicine, Inc was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.