Individual provider Active NPI

Robert R Quimby, M.D.

  • Internal Medicine Physician
  • Delmar, NY
National Provider Identifier
1043202070
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166224 Issued in NY
Practice address
190 Delaware Ave
Delmar, NY 12054-1311
Phone
(518) 475-9235
Fax
(518) 475-9406
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 166224 NY Primary

Addresses

Primary practice location

190 Delaware Ave
Delmar, NY 12054-1311

Mailing address

190 Delaware Ave
Delmar, NY 12054-1311
Phone (518) 475-9235

Other identifiers 1

IdentifierTypeStateIssuer
01159966MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001509 NY Practitioner - Internal Medicine 1850366980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Paul E Lemanski MD PLLC Internal Medicine Past Accepting new patients

Locations

2 Palisades Dr
Ste 200
Albany, NY 12205

190 Delaware Ave
Delmar, NY 12054
Phone (518) 439-7960

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1043202070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541311",
            "telephone_number": "518-475-9235",
            "fax_number": "518-475-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541311",
            "telephone_number": "518-475-9235",
            "fax_number": "518-475-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIMBY",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01159966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.