Robin L Altman, MD
Individual provider Active NPI Pediatrics Physician · Hawthorne, NY
NPI 1295736833 · NPPES record last updated Jul 22, 2013
Key facts
- NPI
- 1295736833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 163450 (NY)
- Practice address
- 19 Bradhurst Ave
Ste. 2400
Hawthorne, NY 10532-2140 - Phone
- (914) 593-8850
- Fax
- (914) 593-8833
- NPI assigned
- Aug 4, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000400 | NY | Practitioner - Pediatric Medicine | 2365583879 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163450 | NY | MD | Pediatrics Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current |
Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current |
Accepting new patients |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606
40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
19 Bradhurst Ave
Ste 2400
Hawthorne, NY 10532
Phone (914) 593-8850
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- robin.altman.p1@direct.cwpw.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 163450 | NY | Yes |
Addresses
Primary practice location
19 Bradhurst Ave
Ste. 2400
Hawthorne, NY 10532-2140
Mailing address
22 Saw Mill River Rd
2ND Floor
Hawthorne, NY 10532-1533
Phone (914) 593-8850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01144389 | Medicaid | NY |
Other providers in Hawthorne, NY
- Sheila Marie Allan
- Ingrid Maria Allard
- Debra Allen
- Alliance Health Group
- Denton Bernard Allman
- Always Exceptional Care, LLC
- Nikhil Amin
- Robert W Amler
- Dori Allison Anchin
- Marcia Beth Andreu
All providers in Hawthorne, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.