Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tom Bui Roberts, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104480177

Tom Bui Roberts, PA is a Physician Assistant in Paramus, New Jersey. Qualified in 2019, 7 years ago. Practices with Brunswick Urgent Care P A, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

10 Forest Ave Ste 100
Paramus, NJ 07652
Phone: (210) 996-1505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12500 W 148th St, Olathe, KS 66062-9454 — (913) 522-3128
  • 10 Forest Ave Ste 100, Paramus, NJ 07652 — (210) 996-1505

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1104480177
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address273 16th St Apt 1211, Jersey City, NJ 07310-1069

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brunswick Urgent Care P A — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Paramus