Danielle D Roberts, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

255075 Issued in NY

Practice address

403-1 Main Street
Port Washington, NY 11040

Phone

(516) 676-0200

NPI assigned

Sep 28, 2009

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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 May 5, 2021 through May 5, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1437483120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403-1 MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-676-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403-1 MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-676-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DANIELLE",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott L Rex, MD
• Jessica Ashley Rich, MSED
• Richard a. Matano, MD, PC
• Joshua Michael Ring, LCSW
• Nomi Rinke, DCSW
• Robyn Croutch D C P C (Back to Life Chiropractic)
• Carolyn Rochel
• Victoria Roger, PSY.D.
• Ronny Bergman DC PC
• Leahanna Rook, OTR/L

• Family Medicine Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.