Healthcare Provider Details

I. General information

NPI: 1326902321
Provider Name (Legal Business Name): MICHAELA ROBBINS, DNP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 STATE RT 17 UNIT 2125
MAHWAH NJ
07430-2116
US

IV. Provider business mailing address

479 STATE RT 17 UNIT 2125
MAHWAH NJ
07430-2116
US

V. Phone/Fax

Practice location:
  • Phone: 201-644-6006
  • Fax: 201-908-2761
Mailing address:
  • Phone: 201-644-6006
  • Fax: 201-908-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAELA ROBBINS
Title or Position: OWNER
Credential: APRN
Phone: 617-872-1595