Basic Information
Provider Information
NPI: 1285725267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOMER
FirstName: ROBERT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST STE SW200
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031155
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber:  
Practice Location
Address1: 2 COOPER PLZ
Address2: 400 HADDON AVE
City: CAMDEN
State: NJ
PostalCode: 081031461
CountryCode: US
TelephoneNumber: 8556322667
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/27/2006
LastUpdateDate: 10/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XMD-069340-LPAN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0003X25MA07566300NJY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
01000539201NJAMERICHOICEOTHER
082674701NJCIGNAOTHER
233646801NJUNITED HEALTHCAREOTHER
6000041601NJHORIZON -NJ HEALTHOTHER
3847501NJUNIVERSITY HEALTH CAREOTHER
000263105NJ MEDICAID
219226300001NJAMERICHEALTH HMOOTHER
P0003588101NJRAILROAD MEDICAREOTHER
321828601NJAETNA US HEALTHCAREOTHER
3K593001NJHEALTHNET, INCOTHER
P293854201NJOXFORD HEALTH PLANOTHER
150395101NJAMERIHEALTH PPO PABSOTHER


Home