Robert Daniel Fullerton, MD
NPI 1003511163ActiveIndividual· Student in an Organized Health Care Education/Training Program· Camden, NJ
Student in an Organized Health Care Education/Training Program (MD) with Corning Hospital, practicing in Camden, New Jersey. Enrolled in Medicare as practitioner - emergency medicine and practitioner - emergency medicine. Lists Corning Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1003511163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 30, 2023 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (NY); Practitioner - Emergency Medicine (PA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Corning HospitalCorning, NY · 44 clinicians
Hospital affiliations
- Corning HospitalCorning, NY
- Robert Packer HospitalSayre, PA
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