Individual provider Active NPI

Flavia Robotti, MD

  • Psychosomatic Medicine Physician
  • New York, NY
National Provider Identifier
1255541322
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
145036 Issued in NY
Practice address
247 3Rd Ave RM 401
New York, NY 10010-7454
Phone
(212) 982-5006
Fax
(212) 475-0134
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 145036 NY Primary

Addresses

Primary practice location

247 3Rd Ave RM 401
New York, NY 10010-7454

Mailing address

247 3Rd Ave RM 401
New York, NY 10010-7454
Phone (212) 982-5006

Other identifiers 8

IdentifierTypeStateIssuer
56A821OtherEMPIRE BLUE CROSS & BLUE SHIELD
P1892880OtherOXFORD
0059344OtherGHI/BMP
00695941MedicaidNY
4413230OtherAETNA
206769OtherVALUE OPTIONS
00600871MedicaidNY
56A823OtherBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050623000887 NY Practitioner - Psychiatry 9931144532 Reassigns benefits to 2 organizations
Practice locations: New York, NY; Riverhead, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1228 E Main St
Suite 102
Riverhead, NY 11901-2675
Phone (631) 273-2994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145036NYMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Healthcare Services P.C. CurrentSince Dec 1, 2017 Accepting new patients
The Guidance Center of Westchester, Inc CurrentSince Feb 3, 2014 Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Past Accepting new patients
Harlem Bay Network Pros PastSince Jul 15, 2015 Accepting new patients
Well Care OB & GYN PC Past Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1255541322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 3RD AVE RM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107454",
            "telephone_number": "212-982-5006",
            "fax_number": "212-475-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 3RD AVE RM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107454",
            "telephone_number": "212-982-5006",
            "fax_number": "212-475-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBOTTI",
        "first_name": "FLAVIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "145036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS & BLUE SHIELD",
            "identifier": "56A821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1892880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/BMP",
            "identifier": "0059344",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4413230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "206769",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00600871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "56A823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.