Active NPI
Robert T Plachy, M.D.
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 185894
- Practice address
- 450 Clarkson Ave # 1262
Department Suny Medical Center
Brooklyn, NY 11203-2012 - Phone
- (718) 270-8867
- NPI assigned
- Aug 30, 2012
- Last updated
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 185894 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave # 1262
Department Suny Medical Center
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Avenue, Box 1262
Department Suny Downstate Medical Center
Brooklyn, NY 11203
Phone (631) 707-4369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10769564 | Other | NY | CAQH PROVIDER ID |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 21.95 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olaf Butchma DO PC | Current | Accepting new patients | |
| Mid Island Medical Associates, PLLC | Family Medicine | Past | Accepting new patients |
Locations
111 Beach Dr
West Islip, NY 11795
Phone (631) 587-1600
78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Internal Medicine Physician
- Center Moriches, NY
- NPI 1023905247
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1326397878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVENUE, BOX 1262",
"address_2": "DEPARTMENT SUNY DOWNSTATE MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "631-707-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 1262",
"address_2": "DEPARTMENT SUNY MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-8867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACHY",
"first_name": "ROBERT",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "185894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "10769564",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.