Robert C Tatelbaum, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

094688-1 Issued in NY

Practice address

1682 Empire Boulevard
Webster, NY 14580

Phone

(585) 671-6790

Fax

(585) 671-1931

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427072255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 RIDGE RD W",
            "address_2": "BUILDING D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263249",
            "telephone_number": "585-225-1580",
            "fax_number": "585-225-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 EMPIRE BOULEVARD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-671-6790",
            "fax_number": "585-671-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATELBAUM",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "094688-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Szklany, P.A.
• Janice M Tabone, R.N.
• Alyssa Tallo
• Vicki Taskett, RN
• Charles Tate, PHARMD
• Allison R Taylor, MS, RDN, LDN
• Briaune SM Taylor, LMSW
• Julie Taylor, RPH
• Tiffany Teague, LPN
• Hannah Margaret Tette, PA-C

• Gynecology Physician in Webster, NY
• Providers in Webster, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.