Robert Traut, C.P.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CP001362 Issued in NY

Practice address

164B Long Beach Rd
Island Park, NY 11558-1512

Phone

(516) 608-1885

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empire State Prosthetics, Inc.

  • Customized Equipment (DME)
  • Island Park, NY
  • NPI 1255517785
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1023021383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CORNWELL AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104732",
            "telephone_number": "516-608-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164B LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581512",
            "telephone_number": "516-608-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUT",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": "CP001362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02915415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Island Family Medical, LLC
• Karen Tabin
• James Vincent Thorne, DDS
• Kimberly Timm
• Jeremy Todd, DC
• U.S. Med Supply Corp.
• Vimla P. Vadhan, PH.D.
• Michael Vanchieri, DC
• Vatra Spina and Sport LLC
• Deanna Viola

• Prosthetics Case Management in Island Park, NY
• Providers in Island Park, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.