Individual provider Active NPI

Robert S Laitman, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1427046689
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
163283 Issued in NY
Practice address
2510 Westchester Ave
Suite 106
Bronx, NY 10461-3585
Phone
(718) 518-1276
Fax
(718) 518-1281
NPI assigned
Oct 12, 2005
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 163283 NY Primary

Addresses

Primary practice location

2510 Westchester Ave
Suite 106
Bronx, NY 10461-3585

Mailing address

2510 Westchester Ave
Suite 106
Bronx, NY 10461-3585
Phone (718) 518-1276

Other identifiers 1

IdentifierTypeStateIssuer
01495436MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

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

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, 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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1427046689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "718-518-1276",
            "fax_number": "718-518-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "SUITE 106",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613585",
            "telephone_number": "718-518-1276",
            "fax_number": "718-518-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITMAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01495436",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.