Organization Active NPI

Dr. Robyn Joseph, DPM, PC.

  • Durable Medical Equipment & Medical Supplies
  • Manhasset, NY
National Provider Identifier
1396913810
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N004018 Issued in NY
Legal business name
DR. ROBYN JOSEPH, DPM, PC.
Practice address
1165 Northern Blvd
Suite 301
Manhasset, NY 11030-3048
Phone
(516) 365-4545
Fax
(516) 365-7111
NPI assigned
Feb 19, 2008
Reactivated
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Jennifer Prashad
Title
Office Manager
Phone
(516) 365-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N004018 NY Primary

Addresses

Primary practice location

1165 Northern Blvd
Suite 301
Manhasset, NY 11030-3048

Mailing address

1165 Northern Blvd
Suite 301
Manhasset, NY 11030-3048
Phone (516) 365-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004179 NY DME Supplier - Physician - Podiatry 7416169131 Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1396913810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-365-4545",
            "fax_number": "516-365-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-365-4545",
            "fax_number": "516-365-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBYN JOSEPH, DPM, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2012-12-18",
        "deactivation_date": "2012-10-24",
        "reactivation_date": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "PRASHAD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-365-4545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.