Healthcare Provider Details

I. General information

NPI: 1023947561
Provider Name (Legal Business Name): MS. DOREESA ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 NEW BROOKLYN RD
BERLIN NJ
08009-9501
US

IV. Provider business mailing address

183 NEW BROOKLYN RD
BERLIN NJ
08009-9501
US

V. Phone/Fax

Practice location:
  • Phone: 856-631-4545
  • Fax:
Mailing address:
  • Phone: 856-631-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number26NJ15569100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: