Active NPI
Robert Eugene Oldaker, M.D., DPM
- Anesthesiology Physician
- Brooklyn, NY
National Provider Identifier
1396950671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 233610-1
- Practice address
- 3201 Kings Hwy.
Brooklyn, NY 11234 - Phone
- (718) 951-3072
- NPI assigned
- May 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 233610-1 | NY | Primary |
Addresses
Primary practice location
3201 Kings Hwy.
Brooklyn, NY 11234
Mailing address
127 East 10TH Street #2
New York, NY 10003
Phone (917) 573-5496
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 |
|---|---|---|---|
| 233610-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multi-Specialty Pain Management, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Bronx, NY
- NPI 1891820726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1396950671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 EAST 10TH STREET #2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "917-573-5496",
"fax_number": "212-255-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 KINGS HWY.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-951-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDAKER",
"first_name": "ROBERT",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D., DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "233610-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.