Robert F Malcomson, R.N.

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

473687-1 Issued in NY

Practice address

998 Crooked Hill Rd
W Brentwood, NY 11717-1043

Phone

(631) 306-5778

NPI assigned

Jan 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316097207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SANDPIPER CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873325",
            "telephone_number": "631-366-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-306-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOMSON",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "473687-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473687-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Michael Hardiman, RN
• Andrea D Hawkins, BA.,MSW
• Souyung Hsiao
• Lisa Joan Hunsucker, R.D., CDN
• Alicekutty Nelpura John, M.D
• Alan N Meisel, MD
• Remedios Valencia Mendegorin, M.D.
• Vicki O'Brien, LCSW
• Karen M. O'Keefe, LCSW-R, CASAC
• Siby Paul

• Addiction (Substance Use Disorder) Registered Nurse in W Brentwood, NY
• Providers in W Brentwood, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.