Active NPI
Robert S Folman, MD
- Medical Oncology Physician
- Trumboll, CT
National Provider Identifier
1023102258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 018748
- Practice address
- 15 Corporate Dr
Trumboll, CT 06611 - Phone
- (203) 459-0262
- Fax
- (203) 459-0264
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 018748 | CT | Primary |
Addresses
Primary practice location
15 Corporate Dr
Trumboll, CT 06611
Mailing address
15 Corporate Dr
Trumboll, CT 06611
Phone (203) 459-0262
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118743 | Medicaid | CT | |
| 010018748CT01 | Other | CT | ANTHEM |
| 000193 | Other | HEALTHNER OXFORD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018748 | CT | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023102258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"city": "TRUMBOLL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-459-0262",
"fax_number": "203-459-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CORPORATE DR",
"city": "TRUMBOLL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-459-0262",
"fax_number": "203-459-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLMAN",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CT",
"license": "018748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118743",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010018748CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNER OXFORD",
"identifier": "000193",
"state": null
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.