Robert R Purvin, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

190960-1 Issued in NY

Practice address

1757 Front St
East Meadow, NY 11554-2432

Phone

(516) 967-2829

Fax

(516) 489-6861

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Wellwood Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1457454902
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1225108798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542432",
            "telephone_number": "516-967-2829",
            "fax_number": "516-489-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542432",
            "telephone_number": "516-967-2829",
            "fax_number": "516-489-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "190960-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190960-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supranee Prombanthoa, PA
• Promed Pharmacy Inc
• Ida Puccini, R.N.
• Purvin Mental Health Counseling Services PLLC (Purvin Counseling Services)
• Jay M Purvin, D.P.M.
• Steven L Purvin, LMHC-D
• Maureen E. Pye, PT
• Sunny Qi Huang, MD
• Fahmina Quader, MD
• Carrie Quattrochi

• Internal Medicine Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.