Active NPI
Robert Mansfield, M.D.
- Pediatric Critical Care Medicine Physician
- New York, NY
National Provider Identifier
1396701389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 196647
- Practice address
- 36 W 84TH St
Apt 1B
New York, NY 10024-4739 - Phone
- (212) 877-5727
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MED-PHYS-LIC-53570 | MT | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 196647 | NY | Primary |
Addresses
Primary practice location
36 W 84TH St
Apt 1B
New York, NY 10024-4739
Mailing address
36 W 84TH St
Apt 1B
New York, NY 10024-4739
Phone (212) 877-5727
Other practice location 1
310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 751-5310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196647 | NY | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1396701389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 W 84TH ST",
"address_2": "APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244739",
"telephone_number": "212-877-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 W 84TH ST",
"address_2": "APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244739",
"telephone_number": "212-877-5727"
}
],
"practiceLocations": [
{
"address_1": "310 Sunnyview Ln",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013129",
"country_code": "US",
"telephone_number": "406-751-5310",
"fax_number": "406-751-3068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSFIELD",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-53570",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "196647",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center Inc",
"address_1": "310 Sunnyview Ln",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.