Robert Russel Coffin, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

170400 Issued in NY

Practice address

1656 Champlin Ave
New Hartford, NY 13413-1068

Phone

(315) 624-8242

Fax

(315) 624-8206

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: d3692@hiemail.healtheconnections.org

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154418879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 INDIAN MOUND DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922217",
            "telephone_number": "315-624-8242",
            "fax_number": "315-624-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131068",
            "telephone_number": "315-624-8242",
            "fax_number": "315-624-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "ROBERT",
        "middle_name": "RUSSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "170400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Clark, MD
• Linda V.W. Clark
• Cny Advanced Gynecology PC
• Cny Family Nurse Practitioner - Home and Office Services PC
• Cny Hormone Center
• Cole Vision Corporation
• Joseph Colosi, FP
• Caitlin Marie Comeskey, MS, OTR/L
• Christine Coniguliaro, OTR
• Francis Royce Constantine, MD

• Anatomic Pathology & Clinical Pathology Physician in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.