Active NPI
Roy E Harnett-Robinson, MD
- Pediatrics Physician
- Cambria HTS, NY
National Provider Identifier
1144267931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 139709
- Practice address
- 20620 Linden Blvd
Cambria HTS, NY 11411-1524 - Phone
- (718) 479-6600
- Fax
- (718) 264-7080
- NPI assigned
- Jun 1, 2006
- Last updated
- Sep 12, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 139709 | NY | Primary |
Addresses
Primary practice location
20620 Linden Blvd
Cambria HTS, NY 11411-1524
Mailing address
55 Water St
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
2915 Far Rockaway Blvd
Far Rockaway, NY 11691-1941
Phone (718) 337-7000
Other practice location 2
29-15 Far Rockaway Blvd
Far Rockaway, NY 11691-1941
Phone (718) 337-7000
Other practice location 3
180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone (718) 526-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00817496 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139709 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1144267931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20620 LINDEN BLVD",
"city": "CAMBRIA HTS",
"state": "NY",
"postal_code": "114111524",
"telephone_number": "718-479-6600",
"fax_number": "718-264-7080"
}
],
"practiceLocations": [
{
"address_1": "2915 Far Rockaway Blvd",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116911941",
"country_code": "US",
"telephone_number": "718-337-7000",
"fax_number": "516-542-5556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29-15 Far Rockaway Blvd",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116911941",
"country_code": "US",
"telephone_number": "718-337-7000",
"fax_number": "718-943-2686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180-05 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114324727",
"country_code": "US",
"telephone_number": "718-526-6300",
"fax_number": "718-262-7064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARNETT-ROBINSON",
"first_name": "ROY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "139709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00817496",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambria HTS, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.