Robert S Jutkowitz MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

107028 Issued in NY

Legal business name

ROBERT S JUTKOWITZ MD PC

Practice address

78 Todt Hill Rd
Suite 205
Staten Island, NY 10314

Phone

(718) 442-7133

Fax

(718) 442-6970

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Robert S Jutkowitz, MD

Title

President

Phone

(718) 442-7133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1376726943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "SUITE 205",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-442-7133",
            "fax_number": "718-442-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "SUITE 205",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-442-7133",
            "fax_number": "718-442-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S JUTKOWITZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "JUTKOWITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-442-7133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "107028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elsie Sadeama Roberts-Johnson, RN

• Neurology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.