# ROBERT J AGRESTI DO PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962576025
- **Authorized official:** DR. ROBERT J AGRESTI JR. DO (PRES)
- **Authorized official phone:** (973) 239-5580

## Contact information

- **Practice address:** 1 MOUNT PROSPECT AVE, VERONA, NJ 07044-2707
- **Practice address phone:** (973) 239-5580
- **Practice address fax:** (973) 239-7082
- **Mailing address:** 1 MOUNT PROSPECT AVE, VERONA, NJ 07044-2707
- **Mailing address phone:** (973) 239-5580
- **Mailing address fax:** (973) 239-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | MB050440 | NJ | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | MB050440 | NJ | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 01/14/2008