NPIMap

Individual provider Active NPI

John S Robertson, M.D.

  • Family Medicine Physician
  • New Hartford, NY
National Provider Identifier
1184651770
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
273556 Issued in NY
Practice address
3946 Oneida St
New Hartford, NY 13413-9702
Phone
(315) 624-8300
Fax
(315) 624-8310
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52721 WI
Family Medicine Physician 207Q00000X 273556 NY Primary

Addresses

Primary practice location

3946 Oneida St
New Hartford, NY 13413-9702

Mailing address

3946 Oneida St
New Hartford, NY 13413-9702
Phone (315) 624-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001923 NY Practitioner - Family Practice 6103049473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

587 Main St
Suite 104
New York Mills, NY 13417-1490
Phone (315) 732-9368

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273556NYMDFamily Medicine Physician
52721WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Robertson M D Family Medicine PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
MVHS Inc CurrentSince Jun 16, 2014 Accepting new patients
MVHS Inc Family Medicine CurrentSince Jun 16, 2014 Accepting new patients

Locations

3946 Oneida St
New Hartford, NY 13413
Phone (315) 624-8300

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

587 Main St
Ste 104
New York Mls, NY 13417
Phone (315) 765-0122

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1184651770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134139702",
            "telephone_number": "315-624-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 ONEIDA ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134139702",
            "telephone_number": "315-624-8300",
            "fax_number": "315-624-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "273556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.