Carolyn Robertson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336027 Issued in NY

Practice address

70 Hatfield LN
Ste 204
Goshen, NY 10924-6734

Phone

(845) 291-1260

Fax

(845) 294-2312

NPI assigned

Sep 21, 2009

Last updated

Oct 21, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Medical Group, P.C.

  dba Horizon Family Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Yorktown Heights, NY
  • NPI 1386520021
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1386978674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1412",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HATFIELD LN",
            "address_2": "STE 204",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246734",
            "telephone_number": "845-291-1260",
            "fax_number": "845-294-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CAROLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "552865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Rivenburgh
• Valerie M. Rivenburgh, COTA
• Jennifer Rivera
• Tatyana Marie Rivera
• Hannah Vera Robb, M.S.ED., CF-SLP
• Roche Counseling LCSW PLLC
• Rockland Psychitatric Center
• Jennifer L Roman, D.O.
• Rooted LCSW Services PLLC
• Zulma Rosado, M.D.

• Family Nurse Practitioner in Goshen, NY
• Providers in Goshen, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.