ROBERT GLENN FORTIN M.D.
NPI 1932178217
Pediatrics - Adolescent Medicine in East Brunswick, NJ

Q: What is Robert Fortin's NPI number?

The NPI number for Robert Fortin is 1932178217. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Robert Fortin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Fortin was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 17, 2006PECOS Enrolled

503 CRANBURY RD, EAST BRUNSWICK, NJ 08816(732) 390-8400(732) 390-8970 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert Glenn Fortin M.d. NPPES

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

ROBERT GLENN FORTIN M.D. (NPI 1932178217) is an individual adolescent medicine provider in East Brunswick, New Jersey, licensed in New Jersey (MA055583) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932178217

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameROBERT GLENN FORTINCredential: M.D.

Location Address503 CRANBURY RDEast Brunswick, NJ 08816-3612

Mailing Address503 Cranbury RdEast Brunswick, NJ 08816-3612 · (732) 390-8400 · Fax (732) 390-8970

Phone(732) 390-8400

Fax(732) 390-8970

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateMarch 15, 2017

✔ NPI 1932178217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NJ · MA055583

Definition

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.

503 CRANBURY RD, East Brunswick, NJ 08816

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Other Identifiers 6

Other8222069NJ · Qualcare/ghi Ny Id

Other1545372NJ · United Id

OtherF06244NJ · Healthnet Id

Other222694202NJ · Tax Id

OtherP2676733NJ · Oxford Id

OtherMA055583NJ · Hip/phcs Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Glenn Fortin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

LARRY J TIEFENBRUNN M.D.

Pediatrics (Adolescent Medicine)