Jennifer Ann Robinson, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008389 Issued in NY

Practice address

28 Brookfield LN
South Setauket, NY 11720-1410

Phone

(631) 880-7373

NPI assigned

Mar 15, 2013

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1376885301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 MIDDLE COUNTRY RD",
            "city": "SEDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-689-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BROOKFIELD LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201410",
            "telephone_number": "631-880-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Raiz, LCSW
• Christine Rosemary Randall, P.T.
• Regal Physical Therapy
• Bradley Richman, LCSW
• Catherine Rivera
• Michael Roche, MA
• Henri Peter Rosenblum, D.C.
• Rodger Rosicki, RPH
• Alexa Brooke Ruggiero
• Cynthia Russo, R.N.

• Medical Physician Assistant in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.