Robyn Gmyrek, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

211237-1 Issued in NY

Practice address

161 Fort Washington Ave
12TH Floor
New York, NY 10032-3729

Phone

(212) 305-5293

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 1, 2023 through Jun 1, 2027

Specialty

Dermatology

Education

Columbia University College of Physicians and Surgeons, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

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.

• Dermatology Clinicians Group - Columbia University

  • Dermatology Physician
  • New York, NY
  • NPI 1477680841
  NPD (past)
• Trustees of Columbia in the City of New York

  • Dermatology Physician
  • New York, NY
  • NPI 1790702884
  NPD (past)
• Union Square Laser Dermatology

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1487936308
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487754792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMYREK",
        "first_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "211237-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02098433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Anne Glynn
• Kristen Rita Glynn, PA
• Matthew Robert Glynn, PA-C
• Andrew Glyptis, M.D.
• GMR Event Services LLC
• John Sebastian Gnalian, MD
• Olena Gnatiuk, RDH
• Dana Rebecca Gnerre, FNP, RN
• Jeffrey Michael Gnerre, M.D., M.S.
• Marlis Gnirke, MD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.