Active NPI
Marilyn A Robertson, M.D.
- Gynecology Physician
- Chandler, AZ
National Provider Identifier
1386721728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 182625
- Practice address
- 2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277 - Phone
- (480) 821-3600
- Fax
- (480) 821-3610
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 182625 | NY | Primary |
Addresses
Primary practice location
2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277
Mailing address
PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3600
Other practice location 1
1 Fulton Ave Ste 30
Hempstead, NY 11550-3648
Phone (516) 538-1932
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Pregnancy Perinatology, LLC | Past | Accepting new patients | |
| South Ocean Care LLC | Past | Accepting new patients | |
| Franklin Hospital | Past | Accepting new patients |
Interoperability endpoints
- marilyn.robertson.1@18107.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Gilbert, AZ
- NPI 1467725812
-
- General Acute Care Hospital
- Valley Stream, NY
- NPI 1528075108
-
- Clinic/Center
- Freeport, NY
- NPI 1205811049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1386721728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6730",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852466730",
"telephone_number": "480-821-3600",
"fax_number": "804-821-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W FRYE RD STE 9",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246277",
"telephone_number": "480-821-3600",
"fax_number": "480-821-3610"
}
],
"practiceLocations": [
{
"address_1": "1 Fulton Ave Ste 30",
"address_purpose": "LOCATION",
"city": "Hempstead",
"state": "NY",
"postal_code": "115503648",
"country_code": "US",
"telephone_number": "516-538-1932",
"fax_number": "516-538-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "MARILYN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "182625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.