Individual provider Active NPI

Robert Alan Jason, M.D.

  • Gynecology Physician
  • New Hyde Park, NY
National Provider Identifier
1295739175
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
162749-1 Issued in NY
Practice address
1999 Marcus Ave
Ste 108
New Hyde Park, NY 11042-1017
Phone
(516) 466-3663
Fax
(516) 773-3201
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 162749-1 NY
Gynecology Physician 207VG0400X 162749-1 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Ste 108
New Hyde Park, NY 11042-1017

Mailing address

1999 Marcus Ave
Ste 108
New Hyde Park, NY 11042-1017
Phone (516) 466-3663

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
I20061018000516 NY Practitioner - Obstetrics/Gynecology 4789689571 Reassigns benefits to 1 organization
Practice locations: New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Marcus Ave
Suite 108
New Hyde Park, NY 11042-1028
Phone (516) 466-4020

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162749-1NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Jason MD PLLC CurrentSince Feb 12, 2017 Accepting new patients
Great Neck Women'S Medical Care Specialist CurrentSince Dec 22, 1988 Accepting new patients
Lake Success Women'S Medical Care CurrentSince Jul 14, 2009 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1999 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 466-3663

Organizations & group practices 4

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 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1295739175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-466-3663",
            "fax_number": "516-773-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-466-3663",
            "fax_number": "516-773-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASON",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "162749-1",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "162749-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.