Individual provider Active NPI

Robert Thomas Abderhalden, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Painted Post, NY
National Provider Identifier
1407805906
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
146079 Issued in NY
Practice address
3805 Meads Creek Rd
Painted Post, NY 14870-9509
Phone
(607) 962-3100
NPI assigned
May 10, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 146079 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 146079 NY Primary

Addresses

Primary practice location

3805 Meads Creek Rd
Painted Post, NY 14870-9509

Mailing address

3805 Meads Creek Rd
Painted Post, NY 14870-9509
Phone (607) 962-3100

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
146079NYMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carefirst Ny, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Southern Tier Oncology, PC Hospice and Palliative Medicine Current Accepting new patients

Locations

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

3805 Meads Creek Rd
Painted Post, NY 14870
Phone (607) 542-2769

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1407805906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MEADS CREEK RD",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709509",
            "telephone_number": "607-962-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MEADS CREEK RD",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709509",
            "telephone_number": "607-962-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDERHALDEN",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "146079",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "146079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painted Post, NY

Sources for this page

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

Verify at the official NPI Registry.