Individual provider Active NPI

Robert S Bartolomeo, M.D.

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1174637854
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1128621 Issued in NY
Practice address
1103 Stewart Ave
Suite 300
Garden City, NY 11530-4886
Phone
(516) 248-3737
Fax
(516) 248-7304
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1128621 NY Primary

Addresses

Primary practice location

1103 Stewart Ave
Suite 300
Garden City, NY 11530-4886

Mailing address

1103 Stewart Ave
Suite 300
Garden City, NY 11530-4886
Phone (516) 248-3737

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

LicenseStateTypeSpecialty
1128621NYMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1174637854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVE",
            "address_2": "SUITE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304886",
            "telephone_number": "516-248-3737",
            "fax_number": "516-248-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 STEWART AVE",
            "address_2": "SUITE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304886",
            "telephone_number": "516-248-3737",
            "fax_number": "516-248-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOMEO",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1128621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.