Individual provider Active NPI

Robert M Fine, DPM

  • Podiatrist
  • Hudson Falls, NY
National Provider Identifier
1477655868
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003042-1 Issued in NY
Practice address
9 Clark St
Hudson Falls, NY 12839-1840
Phone
(518) 747-2372
Fax
(518) 747-2543
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003042-1 NY Primary

Addresses

Primary practice location

9 Clark St
Hudson Falls, NY 12839-1840

Mailing address

9 Clark St
Hudson Falls, NY 12839-1840
Phone (518) 747-2372

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000044 NY Practitioner - Podiatry 3072636943 Practice locations: Hudson Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Clark St
Hudson Falls, NY 12839-1840
Phone (518) 747-2372

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10
Removal of nail tissue705
Removal or shaving of skin growth628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Hospital & facility affiliations 1

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1477655868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CLARK ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391840",
            "telephone_number": "518-747-2372",
            "fax_number": "518-747-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CLARK ST",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128391840",
            "telephone_number": "518-747-2372",
            "fax_number": "518-747-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003042-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.