Individual provider Active NPI

Robert John Spano, FNP-C APRN

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1205168556
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33-341065 Issued in NY
Practice address
36 Thompson Ave
White Plains, NY 10603-7540
Phone
(914) 438-4801
NPI assigned
Feb 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 548615-1 NY
Registered Nurse 163W00000X 083434 CT
Family Nurse Practitioner 363LF0000X 12.006746 CT
Family Nurse Practitioner 363LF0000X 33-341065 NY Primary

Addresses

Primary practice location

36 Thompson Ave
White Plains, NY 10603-7540

Mailing address

36 Thompson Ave
White Plains, NY 10603-3313
Phone (914) 438-4801

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106001111 NY Practitioner - Nurse Practitioner 5193081263 Reassigns benefits to 2 organizations
Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36 Thompson Ave
White Plains, NY 10603-3313
Phone (914) 438-4801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
083434CTMDRegistered Nurse
548615-1NYMDRegistered Nurse
12.006746CTMDFamily Nurse Practitioner
33-341065NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psych Consulting LLC CurrentSince Dec 1, 2021 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Sep 1, 2017 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Sep 1, 2017 Accepting new patients

Locations

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1205168556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THOMPSON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033313",
            "telephone_number": "914-438-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 THOMPSON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106037540",
            "telephone_number": "914-438-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANO",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-C APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "548615-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "083434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33-341065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.