Individual provider Active NPI

Robert Dweck, M.D.

  • Family Medicine Physician
  • Amenia, NY
National Provider Identifier
1063447746
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
154973 Issued in NY
Practice address
3360 Route 343
Hudson River Healthcare, Inc.
Amenia, NY 12501
Phone
(845) 373-9006
Fax
(845) 373-7021
NPI assigned
Jul 11, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 154973 NY Primary

Addresses

Primary practice location

3360 Route 343
Hudson River Healthcare, Inc.
Amenia, NY 12501

Mailing address

1037 Main St
4TH Floor - Credentialing
Peekskill, NY 10566-2913
Phone (914) 734-8858

Other identifiers 1

IdentifierTypeStateIssuer
00921426MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111201000009 CT Practitioner - Family Practice 1052303930 Reassigns benefits to 1 organization
I20151022002172 NY Practitioner - Family Practice 1052303930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

3174 Route 22
Dover Plains, NY 12522-5924
Phone (845) 877-4793

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Jul 1, 2001 Accepting new patients

Locations

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

1037 Main St
Fl 4
Peekskill, NY 10566

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: robert.dweck@hrh.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1063447746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "4TH FLOOR - CREDENTIALING",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8858",
            "fax_number": "914-734-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 ROUTE 343",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "12501",
            "telephone_number": "845-373-9006",
            "fax_number": "845-373-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWECK",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00921426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amenia, NY

Sources for this page

Verify at the official NPI Registry.