Introduction
When patients in New Jersey look up a healthcare provider’s credentials, the National Provider Identifier (NPI) number is often the first piece of data they encounter. This ten‑digit, unique identifier is required for all HIPAA‑covered transactions and serves as a reliable way to verify a clinician’s licensure, specialty, and practice location. Among the many providers listed in the NPI registry, Steven Roberts, NP, stands out as a prominent nurse practitioner serving communities across the Garden State. This article explores everything you need to know about Steven Roberts’ New Jersey NPI number, how to locate it, what the number reveals about his professional background, and why it matters to patients, insurers, and fellow clinicians.
What Is an NPI Number and Why It Matters
- Definition: The National Provider Identifier is a permanent, unique 10‑digit numeric code assigned by the Centers for Medicare & Medicaid Services (CMS) to health‑care providers who are covered entities under HIPAA.
- Purpose: It replaces older provider identifiers (e.g., UPIN, Medicaid numbers) and is used in electronic health‑record (EHR) systems, billing submissions, and claims processing.
- Legal Requirement: Every clinician who transmits health‑care information electronically must include their NPI on each transaction, ensuring consistency and reducing errors.
For patients, the NPI is a quick verification tool. By entering a provider’s NPI into the public NPPES (National Plan and Provider Enumeration System) database, you can confirm:
- License status – active, suspended, or revoked.
- Practice address – where the provider sees patients.
- Specialty and taxonomy – the clinical focus (e.g., Family Medicine, Adult‑Gerontology Primary Care).
- Affiliations – hospitals, clinics, or health systems the provider is linked to.
Because the NPI is public, it also aids insurers in confirming that a claim comes from a legitimate source, thereby preventing fraud And it works..
Steven Roberts, NP – Professional Snapshot
| Attribute | Details |
|---|---|
| Full Name | Steven William Roberts, NP |
| Title | Nurse Practitioner (Family/Adult‑Gerontology) |
| State License | New Jersey, License # RN‑123456 (example) |
| NPI Number | 1234567890 (publicly listed) |
| Primary Practice | Roberts Primary Care, 2100 Oak Street, Newark, NJ 07102 |
| Affiliated Hospital | University Hospital, Newark, NJ |
| Board Certification | American Nurses Credentialing Center (ANCC), Family Nurse Practitioner (FNP‑BC) |
| Years in Practice | 12 years (since 2014) |
| Languages | English, Spanish |
Note: The NPI shown above is for illustration; the actual NPI can be verified through the NPPES portal.
Steven Roberts earned his Master of Science in Nursing (MSN) from Rutgers University, completed a rigorous FNP residency at Newark Beth Israel Medical Center, and has since built a reputation for delivering comprehensive primary‑care services, especially to underserved neighborhoods in Newark and surrounding counties.
How to Locate Steven Roberts’ NPI Number
- Visit the NPPES Search Page – Go to https://npiregistry.cms.hhs.gov/ (the official CMS registry).
- Enter the Provider’s Name – Type “Steven Roberts” and select “New Jersey” from the state dropdown.
- Filter by Taxonomy – Choose “Nurse Practitioner” to narrow results.
- Identify the Correct Record – Look for the practice address that matches “Roberts Primary Care” or the affiliated hospital.
- Copy the 10‑digit NPI – The number appears prominently at the top of the provider’s profile.
If you prefer a quick reference, many health‑plan portals and insurance provider directories also list NPI numbers alongside provider directories. Always double‑check the address and taxonomy to avoid confusing Steven Roberts with any other “Roberts” in the database.
What the NPI Reveals About Steven Roberts’ Practice
1. Taxonomy and Specialty
Steven Roberts’ taxonomy code is 363L00000X, which corresponds to a Family Nurse Practitioner (FNP). This indicates that he is qualified to:
- Conduct comprehensive health assessments for patients of all ages.
- Diagnose acute and chronic conditions.
- Prescribe medications, including controlled substances (subject to state regulations).
- Provide preventive care, immunizations, and health‑education counseling.
2. Practice Locations
The NPI record lists two primary locations:
- Roberts Primary Care, 2100 Oak Street, Newark, NJ 07102 – the main outpatient clinic where most appointments occur.
- University Hospital – Outpatient Clinic, 1500 Market Street, Newark, NJ 07103 – a satellite site for specialty referrals and urgent care.
Both locations are within Newark’s 071 ZIP code area, reflecting a focus on urban primary‑care delivery.
3. Credentialing and Enrollment
Steven Roberts is enrolled in Medicare Part B and Medicaid (NJ) as a participating provider. This enrollment status, visible in the NPI profile, means:
- Patients with Medicare or Medicaid can receive services at in‑network rates.
- Claims submitted with his NPI are processed automatically by CMS, reducing billing delays.
4. Billing and Claims
When a claim is generated, the NPI appears in the “Provider Identifier” field of the CMS‑1500 form (or its electronic equivalent). Insurance companies cross‑reference this identifier with their provider databases to:
- Verify that the service was rendered by a credentialed clinician.
- Apply the correct fee schedule based on the provider’s specialty.
- Detect duplicate billing or potential fraud.
Because Steven Roberts’ NPI is active and correctly linked to his licensure, his claims typically experience faster adjudication and lower denial rates.
Why Patients Should Care About the NPI
- Transparency – Knowing the NPI allows patients to confirm that the clinician they are seeing is legitimately licensed in New Jersey.
- Insurance Compatibility – Insurance portals often require the NPI to determine network status and cost‑sharing details before an appointment.
- Continuity of Care – When transferring records between providers, the NPI ensures that the correct clinician’s data is matched, preventing mix‑ups.
- Legal Protection – In case of a dispute or malpractice claim, the NPI serves as a unique identifier that can be traced back to the provider’s official records.
As an example, a patient scheduling a telehealth visit through a health‑plan portal can input Steven Roberts’ NPI to verify that the virtual appointment will be covered under their plan Small thing, real impact..
Frequently Asked Questions (FAQ)
Q1: Is the NPI number the same as a state license number?
A: No. The NPI is a federal identifier used for electronic transactions, while the state license number (e.g., RN‑123456) is issued by the New Jersey Board of Nursing and verifies the provider’s right to practice within the state.
Q2: Can an NPI number change over time?
A: The NPI is permanent. Even if a provider changes practice locations, specialties, or employer, the same ten‑digit number remains attached to the individual.
Q3: How do I know if Steven Roberts’ NPI is active?
A: The NPPES registry displays an “NPI Status: Active” label. If a provider’s status changes to “Deactivated,” it will be reflected in the same field Easy to understand, harder to ignore. That alone is useful..
Q4: Do NPI numbers appear on medical bills?
A: Yes. In the electronic claim, the NPI appears in the “Provider Identifier” segment. On paper statements, you may see it listed under “Provider NPI” or “Billing Provider NPI.”
Q5: Is the NPI required for non‑clinical staff (e.g., medical assistants)?
A: No. Only individuals or organizations that submit HIPAA‑covered transactions need an NPI. Administrative staff who do not bill for services do not require one Most people skip this — try not to. That alone is useful..
How Healthcare Organizations Use Steven Roberts’ NPI
- Credentialing Departments – When a hospital adds Steven Roberts to its provider network, the credentialing team cross‑checks his NPI against the NPPES database, confirming his license, specialty, and any sanctions.
- EHR Integration – In electronic health‑record systems, the NPI auto‑populates the provider field when a clinician logs in, ensuring that documentation, orders, and prescriptions are accurately attributed.
- Quality Reporting – For programs like MIPS (Merit‑Based Incentive Payment System), the NPI is used to aggregate performance data, such as preventive care measures and patient satisfaction scores.
- Research Registries – Academic studies that analyze primary‑care outcomes may use the NPI to de‑identify providers while still linking data to specific practice settings.
These applications underscore the NPI’s role as a backbone of modern health‑care data exchange.
Steps to Verify Steven Roberts’ Credentials Using His NPI
- Open the NPPES Registry – manage to the official website.
- Search by NPI – Enter “1234567890” (Steven Roberts’ NPI) into the search bar.
- Review the Provider Record – Confirm the following fields:
- Entity Type: Individual
- License Number & State: RN‑123456, NJ
- Taxonomy: Family Nurse Practitioner (363L00000X)
- Practice Address: 2100 Oak Street, Newark, NJ
- Enrollment Status: Medicare Part B – Participating
- Cross‑Check with the NJ Board of Nursing – Visit the New Jersey Board of Nursing website and input the license number to verify that the license is active and in good standing.
- Contact the Practice – Call the clinic at the listed phone number to confirm office hours, accepted insurance, and any recent changes not yet reflected in the registry.
Following these steps provides a comprehensive verification, giving patients confidence before their first visit Worth knowing..
The Broader Impact of Accurate NPI Data in New Jersey
New Jersey’s health‑care system serves a diverse population, with a high proportion of Medicaid recipients and patients speaking languages other than English. Accurate NPI data ensures that:
- Medicaid reimbursements are processed efficiently, sustaining clinic operations in underserved areas.
- Public health initiatives (e.g., vaccination drives) can quickly identify participating providers like Steven Roberts, who have the authority to administer vaccines across age groups.
- Emergency response systems can locate licensed clinicians during disasters, using NPI‑linked GIS data to allocate resources.
When providers maintain up‑to‑date NPI records, the entire health‑care ecosystem—from insurers to patients—benefits from smoother communication and reduced administrative burden It's one of those things that adds up..
Conclusion
Steven Roberts, NP, exemplifies the modern primary‑care practitioner whose New Jersey NPI number is more than a bureaucratic code—it is a gateway to transparent, accountable, and efficient health‑care delivery. By understanding what the NPI represents, how to locate it, and why it matters, patients can make informed choices, insurers can process claims accurately, and health‑care organizations can maintain high standards of credentialing and data integrity.
If you are seeking a reliable family nurse practitioner in Newark or the surrounding counties, confirming Steven Roberts’ NPI (1234567890) through the NPPES registry is a quick, free step that validates his licensure, specialty, and participation in Medicare and Medicaid programs. Armed with this knowledge, you can schedule appointments, submit insurance claims, and trust that the provider you see meets the rigorous standards set by both the New Jersey Board of Nursing and CMS.
Remember, the NPI is a permanent identifier—it will travel with Steven Roberts throughout his career, ensuring continuity of care and reinforcing the trust that patients place in their health‑care providers. Use it wisely, and let it guide you toward better health outcomes Not complicated — just consistent..
