Individual provider Active NPI

Omar Hassan Robe, ACADEMIC DEGREE

  • Case Manager/Care Coordinator
  • Brooklyn Park, MN
National Provider Identifier
1205407194
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1517 88TH Ave N
Brooklyn Park, MN 55444-1358
Phone
(612) 735-3198
NPI assigned
Jul 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X MN Primary

Addresses

Primary practice location

1517 88TH Ave N
Brooklyn Park, MN 55444-1358

Mailing address

1517 88TH Ave N
Brooklyn Park, MN 55444-1358
Phone (612) 735-3198

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1205407194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441358",
            "telephone_number": "612-735-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441358",
            "telephone_number": "612-735-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBE",
        "first_name": "OMAR",
        "middle_name": "HASSAN",
        "credential": "ACADEMIC DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.