Individual provider Active NPI

Robert Sparto, M.D.

  • Specialist
  • West Babylon, NY
National Provider Identifier
1316993595
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
162586 Issued in NY
Practice address
170 Little East Neck Rd
West Babylon, NY 11704-7722
Phone
(631) 422-2345
Fax
(631) 482-1154
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 162586 NY Primary

Addresses

Primary practice location

170 Little East Neck Rd
West Babylon, NY 11704-7722

Mailing address

170 Little East Neck Rd
West Babylon, NY 11704-7722
Phone (631) 422-2345

Other identifiers 1

IdentifierTypeStateIssuer
009754396MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162586NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1316993595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047722",
            "telephone_number": "631-422-2345",
            "fax_number": "631-482-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047722",
            "telephone_number": "631-422-2345",
            "fax_number": "631-482-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARTO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "162586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009754396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.