Robin Gara, REGISTERED NURSE

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

669313 Issued in NY

Practice address

3009 Broadway
Lower Level Brooks Hall
New York, NY 10027-6909

Phone

(212) 854-2091

NPI assigned

Nov 22, 2016

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1225571383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 1ST AVE",
            "address_2": "APT 6V",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296415",
            "telephone_number": "315-436-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "address_2": "LOWER LEVEL BROOKS HALL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARA",
        "first_name": "ROBIN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "669313",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "NY",
            "license": "669313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "669313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• College Health Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• College Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.