Robert K. Ansbach, R.P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002712-1 Issued in NY

Practice address

Stony Brook University Student Health Service
Stony Brook, NY 11794-0001

Phone

(631) 632-6740

Fax

(631) 632-6936

NPI assigned

May 24, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326041260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRADUATE CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY STUDENT HEALTH SERVICE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-6740",
            "fax_number": "631-632-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSBACH",
        "first_name": "ROBERT",
        "middle_name": "K.",
        "credential": "R.P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002712-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Anfang, MD
• Carmichael Angeles, M.D.
• Jaclyn Angielczyk, MD
• Athanasios Angistriotis, MD
• David Anolik, DDS
• Shana Anthony, DPT
• Crystal Vanessa Antoine Pepeljugoski, M.D.
• Amanda Antonacci
• Cheryl Antonucci, MA, CCC-SP, LSLP
• Muhammad Ammaar Anwar, MD

• All providers in Stony Brook, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.