Individual provider Active NPI

Bruce Robin, MD

  • Cardiovascular Disease Physician
  • Mineola, NY
National Provider Identifier
1154416212
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
196799 Issued in NY
Practice address
200 Old Country Rd
Suite 278
Mineola, NY 11501-4235
Phone
(516) 877-0977
Fax
(516) 294-6861
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 196799 NY Primary

Addresses

Primary practice location

200 Old Country Rd
Suite 278
Mineola, NY 11501-4235

Mailing address

200 Old Country Rd
Suite 278
Mineola, NY 11501-4235
Phone (516) 877-0977

Other identifiers 1

IdentifierTypeStateIssuer
01915948MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000670 NY Practitioner - Cardiovascular Disease (Cardiology) 1557433547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 6709174493, 17 clinicians

Practice addresses (Care Compare)

200 Old Country Rd
Suite 520
Mineola, NY 11501-4298
Phone (516) 877-0977

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
69.92
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196799NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven S Shayani MD PC Cardiovascular Disease CurrentSince Dec 13, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Sep 1, 2016 Accepting new patients
Interventional Cardiology Assoc Past Accepting new patients

Locations

393 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

200 Old Country Rd
Ste 278
Mineola, NY 11501
Phone (516) 877-0977

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1154416212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "address_2": "SUITE 278",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-877-0977",
            "fax_number": "516-294-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "address_2": "SUITE 278",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-877-0977",
            "fax_number": "516-294-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIN",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "196799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01915948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.