Individual provider Active NPI

Robert W Christine, P.A.

  • Physician Assistant
  • Hudson, NY
National Provider Identifier
1124137864
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2189 Issued in MA
Practice address
802 Columbia St
Suite 2
Hudson, NY 12534-2306
Phone
(518) 751-1016
Fax
(518) 751-1020
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011042 NY
Physician Assistant 363A00000X 2189 MA Primary

Addresses

Primary practice location

802 Columbia St
Suite 2
Hudson, NY 12534-2306

Mailing address

891 Sleepy Hollow Rd Unit 1271
Athens, NY 12015-3407
Phone (518) 444-4380

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000176 NY Practitioner - Physician Assistant 7113934456 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Healthcare 114 clinicians

Practice addresses (Care Compare)

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830

7 Timmerman Ave
St Johnsville, NY 13452-1017
Phone (518) 770-7818

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Sep 21, 2020 Accepting new patients
St. Mary'S Healthcare CurrentSince Aug 1, 2025 Accepting new patients
St Marys Healthcare CurrentSince Aug 1, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 21, 2020 Accepting new patients
Ellis Hospital CurrentSince Jul 25, 2013 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Dra Imaging, PC Past Accepting new patients
Columbia Emergency Services, PC Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

7 Timmerman Ave
St Johnsville, NY 13452
Phone (518) 568-5037

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: rchristine344693@bassett.direct-ci.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1124137864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 SLEEPY HOLLOW RD UNIT 1271",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "120153407",
            "telephone_number": "518-444-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 COLUMBIA ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342306",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTINE",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011042",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.