Individual provider Active NPI

Roberto Robinson, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1477655017
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
236670 Issued in NY
Practice address
60 Plaza St E
Brooklyn, NY 11238-5040
Phone
(718) 783-3919
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236670 NY
Geriatric Medicine (Family Medicine) Physician 207QG0300X 236670 NY Primary

Addresses

Primary practice location

60 Plaza St E
Brooklyn, NY 11238-5040

Mailing address

3930 51St St
Woodside, NY 11377-3149
Phone (917) 674-2115

Other identifiers 1

IdentifierTypeStateIssuer
02736809MedicaidNY

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
I20060410000520 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 3577572189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

332 Dekalb Ave
Brooklyn, NY 11205-3820
Phone (718) 852-5252

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236670NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Sep 28, 2011 Accepting new patients
Brooklyn Family Medical Care Family Medicine Past Accepting new patients

Locations

60 Plaza St E
Apt 10
Brooklyn, NY 11238
Phone (718) 783-3919

297 Sumner Ave
Brooklyn, NY 11221
Phone (718) 453-9377

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

60 Plaza St E
Brooklyn, NY 11238
Phone (718) 638-9222

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1477655017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 51ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773149",
            "telephone_number": "917-674-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385040",
            "telephone_number": "718-783-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236670",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "236670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.