Active NPI
Robin Buchholz, MD
- Dermatology Physician
- New York, NY
National Provider Identifier
1235120171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 183148
- Practice address
- 1090 Amsterdam Ave
Suite 11D
New York, NY 10025-1737 - Phone
- (212) 523-5898
- NPI assigned
- Oct 31, 2005
- Last updated
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 183148 | NY | Primary |
Addresses
Primary practice location
1090 Amsterdam Ave
Suite 11D
New York, NY 10025-1737
Mailing address
PO Box 95000-2233
Philadelphia, PA 19195-2233
Phone (212) 523-4546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01649361 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bimc Faculty Practice | Dermatology | Past | Accepting new patients |
| Beth Israel Medical Center | Dermatology | Past | Accepting new patients |
| St Lukes-Roosevelt Hospital Center | Dermatology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bimc Dermatology Consultants
- Dermatology Physician
- New York, NY
- NPI 1386609535
-
- Dermatology Physician
- New York, NY
- NPI 1184827586
-
dba Dermatology Associates of SLR
- Dermatology Physician
- New York, NY
- NPI 1831154087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1235120171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2233",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952233",
"telephone_number": "212-523-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVE",
"address_2": "SUITE 11D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251737",
"telephone_number": "212-523-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHHOLZ",
"first_name": "ROBIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "183148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01649361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.