Robert William Wormuth I, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

004713-1 Issued in NY

Practice address

927 49TH St
Brooklyn, NY 11219-2923

Phone

(718) 283-7400

Fax

(718) 283-6199

NPI assigned

Jan 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment
• Maimonides Medical Center Orthopaedic FPP

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1073943163
  Medicare reassignment
• Maimonides Bone and Joint Faculty Practice Physical Therapy

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1609431576
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1265618110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-7400",
            "fax_number": "718-283-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-7400",
            "fax_number": "718-283-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMUTH",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "004713-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Louise Workman, NP
• Nancy K Workman, PSY.D.
• Berhane Worku
• Worldwide Surgical Equipment Inc
• Aaron Worley, LMSW
• Roman Stephan Orest Woroch, M.D.
• Felicia Marie Woron
• Hunter Kai Worrell, FNP-C
• Nariya Hope Worrell, LCSW
• Trevor R Worrell, M.D.

• Surgical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.