Individual provider Active NPI

Robin Susan Hayworth, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1174521876
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138501 Issued in NY
Practice address
524 E 72ND St
New York, NY 10021-9801
Phone
(718) 863-7774
Fax
(718) 792-0288
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138501 NY Primary

Addresses

Primary practice location

524 E 72ND St
New York, NY 10021-9801

Mailing address

524 E 72ND St
New York, NY 10021-9801
Phone (718) 863-7774

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1174521876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219801",
            "telephone_number": "718-863-7774",
            "fax_number": "718-792-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219801",
            "telephone_number": "718-863-7774",
            "fax_number": "718-792-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWORTH",
        "first_name": "ROBIN",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.