Individual provider Active NPI

Robert B Swersky, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Manhasset, NY
National Provider Identifier
1407820285
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
116612 Issued in NY
Practice address
1201 Northern Blvd
Suite 201
Manhasset, NY 11030
Phone
(516) 365-4616
Fax
(516) 365-1759
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 116612 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 116612 NY Primary

Addresses

Primary practice location

1201 Northern Blvd
Suite 201
Manhasset, NY 11030

Mailing address

1201 Northern Blvd
Suite 201
Manhasset, NY 11030
Phone (516) 365-4616

Other identifiers 1

IdentifierTypeStateIssuer
00278015MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000450 NY Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0345390019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116612NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Swersky MD PC Vascular Surgery CurrentSince Jun 30, 1973 Accepting new patients

Locations

1201 Northern Blvd
Ste 201
Manhasset, NY 11030
Phone (516) 365-4616

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1407820285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-365-4616",
            "fax_number": "516-365-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTHERN BLVD",
            "address_2": "SUITE 201",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-365-4616",
            "fax_number": "516-365-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERSKY",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "116612",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "116612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00278015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.