Individual provider Active NPI

Robert I Meyerson, M.D

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Suffern, NY
National Provider Identifier
1295709640
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
162985 Issued in NY
Practice address
257 Lafayette Ave Ste 140
Suffern, NY 10901-4835
Phone
(845) 777-3500
Fax
(845) 533-7480
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 162985 NY Primary

Addresses

Primary practice location

257 Lafayette Ave Ste 140
Suffern, NY 10901-4835

Mailing address

20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906

Other practice location 1

170 William St
8th Floor
New York, NY 10038-2612
Phone (212) 312-5980

Other identifiers 1

IdentifierTypeStateIssuer
01395519MedicaidNY

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
I20040319000316 NY Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9537059779 Reassigns benefits to 4 organizations
Practice locations: New York, NY; Dobbs Ferry, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162985NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC Current Accepting new patients
Kings Physician Services, PC CurrentSince May 1, 2021 Accepting new patients
Bik Orthopedics, PC Sports Medicine CurrentSince Nov 1, 2006 Accepting new patients
Beacon Hill Orthopedics PLLC CurrentSince Dec 11, 2011 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. CurrentSince Jun 1, 2022 Accepting new patients
TBHC Medical Services PC Past Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients
Caledonian Health Center Past Accepting new patients

Locations

263 7th Ave
Ste 2B
Brooklyn, NY 11215
Phone (718) 246-8700

515 6th St
Brooklyn, NY 11215
Phone (718) 780-3031

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

263 7th Ave
Brooklyn, NY 11215
Phone (718) 246-8510

20 Beacon Hill Dr
Ste 2A
Dobbs Ferry, NY 10522
Phone (914) 693-9400

170 William St
New York, NY 10038
Phone (212) 238-0100

170 William St
Fl 8
New York, NY 10038
Phone (212) 312-5000

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

257 Lafayette Ave
Ste 140
Suffern, NY 10901
Phone (845) 777-3550

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

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

Interoperability endpoints

  • Direct secure messaging: rom9078@direct.nyp.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1295709640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVE STE 140",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014835",
            "telephone_number": "845-777-3500",
            "fax_number": "845-533-7480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 William St",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382612",
            "country_code": "US",
            "telephone_number": "212-312-5980",
            "fax_number": "212-312-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERSON",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "162985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01395519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.