Active NPI
Robert A Florin, MD
- Psychiatry Physician
- Providence, RI
National Provider Identifier
1063534527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD05177
- Practice address
- 154 Waterman St
3Rd Floor
Providence, RI 02906-3116 - Phone
- (401) 351-3030
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD05177 | RI | Primary |
Addresses
Primary practice location
154 Waterman St
3Rd Floor
Providence, RI 02906-3116
Mailing address
154 Waterman St
3Rd Floor
Providence, RI 02906-3116
Phone (401) 351-3030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000508 001 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| 0000ZFY289 | Other | MA | BLUE CROSS MA - MEDEX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05177 | RI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063534527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 WATERMAN ST",
"address_2": "3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-351-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WATERMAN ST",
"address_2": "3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-351-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORIN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD05177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD RI",
"identifier": "0000000508 001",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA - MEDEX",
"identifier": "0000ZFY289",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.