Individual provider Active NPI

Robert Johnson Allen Sr., M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1255353983
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
150082-1 Issued in NY
Practice address
57 W 57TH St Ste 1603
New York, NY 10019-2828
Phone
(888) 890-3437
Fax
(843) 727-3774
NPI assigned
Jul 24, 2006
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 150082-1 NY Primary
Plastic Surgery Physician 208200000X 12264 SC
Plastic Surgery Physician 208200000X 013956 LA

Addresses

Primary practice location

57 W 57TH St Ste 1603
New York, NY 10019-2828

Mailing address

4429 Clara St Ste 330
New Orleans, LA 70115-6957
Phone (888) 890-3437

Other practice location 1

4429 Clara St Ste 330
New Orleans, LA 70115-6957
Phone (888) 890-3437

Other practice location 2

1300 Hospital Dr Ste 120
Mount Pleasant, SC 29464-3204
Phone (888) 890-3437

Other identifiers 1

IdentifierTypeStateIssuer
1330281MedicaidLA

Other names 1

  • Robert Johnson Allen Sr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150122000368 LA Practitioner - Plastic and Reconstructive Surgery 1951625920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12264SCMDClinical Social Worker
013956LAMDPlastic Surgery Physician
150082-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 16, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 21, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 21, 2014 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 16, 2017 Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

4429 Clara St
New Orleans, LA 70115
Phone (504) 842-9618

4429 Clara St
Ste 330
New Orleans, LA 70115
Phone (888) 890-3437

4429 Clara St
Ste 440
New Orleans, LA 70115
Phone (504) 824-9618

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1255353983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 CLARA ST STE 330",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156957",
            "telephone_number": "888-890-3437",
            "fax_number": "843-727-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192828",
            "telephone_number": "888-890-3437",
            "fax_number": "843-727-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4429 Clara St Ste 330",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701156957",
            "country_code": "US",
            "telephone_number": "888-890-3437",
            "fax_number": "843-727-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643204",
            "country_code": "US",
            "telephone_number": "888-890-3437",
            "fax_number": "843-727-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "JOHNSON",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "150082-1",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "12264",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "013956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ALLEN",
            "middle_name": "JOHNSON",
            "suffix": "SR.",
            "credential": "M.D., F.A.C.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.