Active NPI
Robert J Nicaise, M.D.
- Family Medicine Physician
- Hamburg, NY
National Provider Identifier
1013016401
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 155535
- Practice address
- 6294 Sunnyside Dr
Hamburg, NY 14075-5333 - Phone
- (716) 941-7838
- Fax
- (520) 303-0568
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 155535 | NY | Primary |
Addresses
Primary practice location
6294 Sunnyside Dr
Hamburg, NY 14075-5333
Mailing address
6294 Sunnyside Dr
Hamburg, NY 14075-5333
Phone (716) 941-7838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients | |
| Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit | Past | Accepting new patients | |
| Springville Pediatrics, LLP | Past | Accepting new patients | |
| Edward John Noble Hospital of Gouverneur Ny | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Gouverneur, NY
- NPI 1316940745
-
- Medicare Defined Swing Bed Hospital Unit
- Gouverneur, NY
- NPI 1215031885
-
- Pediatrics Physician
- Springville, NY
- NPI 1598722159
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1013016401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6294 SUNNYSIDE DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755333",
"telephone_number": "716-941-7838",
"fax_number": "520-303-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6294 SUNNYSIDE DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755333",
"telephone_number": "716-941-7838",
"fax_number": "520-303-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICAISE",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "155535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.