Robert H Gotkin, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

147060-1 Issued in NY

Practice address

31 Northern Blvd
Greenvale, NY 11548-1320

Phone

(516) 484-9000

Fax

(516) 484-7549

NPI assigned

Jul 26, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

Howard University College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cosmetique Dermatology Laser and Plastic Surgery LLPGroup PAC ID 6002994530, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cosmetique Dermatology, Laser & Plastic Surgery, LLP

  • MOHS-Micrographic Surgery Physician
  • Greenvale, NY
  • NPI 1710987227

  Plastic Surgery

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043210677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481320",
            "telephone_number": "516-484-9000",
            "fax_number": "516-484-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481320",
            "telephone_number": "516-484-9000",
            "fax_number": "516-484-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTKIN",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "147060-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Mary French
• FWS Pharmacy Consulting, Inc.
• Gaia Midwives PLLC (Gaia Midwives)
• Julia Giuga, PHARMD
• GLM Pharmacy (Halsey Drugs and Surgicals)
• Greco Physical Therapy & Sports Performance, PLLC
• Nicholas Lee Green, MD
• Hilary Anne Greenblatt, NP
• Greenvale Chemists and Surgical Supply Co
• Greenvale Medical Services PC

• Plastic Surgery Physician in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Plastic Surgery Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.