Robert a. Reff, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036064917 Issued in IL

Legal business name

ROBERT A. REFF, M.D., P.C.

Practice address

233 E Erie St Ste 609
Chicago, IL 60611-5934

Phone

(312) 981-3370

Fax

(312) 981-3375

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Alan Reff, MDNPI 1952357766

Title

President

Phone

(219) 405-5719

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Alan Reff, M.D.

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1952357766

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1386697316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CLINTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422001",
            "telephone_number": "312-981-3370",
            "fax_number": "312-981-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST STE 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115934",
            "telephone_number": "312-981-3370",
            "fax_number": "312-981-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. REFF, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "REFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-405-5719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036064917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064917",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01635885",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale W Roberson, LCSW
• Deangela Roberson, SA
• Jessica Roberson, LCSW
• Robert a. Fajardo, M.D., S.C.
• Robert a. Levine, M.D., S.C.
• Robert B Scott Ocularists LTD
• Robert Budziakowski, MD, S.C.
• Robert E. Placzek D.D.S.,P.C.
• Robert H. Lurie Comprehensive Cancer Center of Northwestern University
• Robert Hjertquist, Inc.

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.