Active NPI
John Robinson, M.D.
- Surgery Physician
- Smithtown, NY
National Provider Identifier
1356351423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 147145-1
- Practice address
- 48 Route 25a Ste 102
Smithtown, NY 11787-1447 - Phone
- (631) 360-1720
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 147145-1 | NY | Primary |
Addresses
Primary practice location
48 Route 25a Ste 102
Smithtown, NY 11787-1447
Mailing address
48 Route 25a Ste 102
Smithtown, NY 11787-1447
Phone (631) 360-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00864282 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147145-1 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1356351423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 ROUTE 25A STE 102",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871447",
"telephone_number": "631-360-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ROUTE 25A STE 102",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871447",
"telephone_number": "631-360-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "147145-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00864282",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.