Organization Active NPI

Robert L Plummer MD Facs PC

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1487810289
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROBERT L PLUMMER MD FACS PC
Practice address
176 E Mosholu PK Wy S
Bronx, NY 10458-1174
Phone
(718) 367-6100
Fax
(718) 733-4020
NPI assigned
Jul 31, 2008
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Robert L Plummer, MD FACS PCNPI 1508945148
Title
Ceo
Phone
(718) 367-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

176 E Mosholu PK Wy S
Bronx, NY 10458-1174

Mailing address

176 E Mosholu PK Wy S
Bronx, NY 10458-1174
Phone (718) 367-6100

Other identifiers 1

IdentifierTypeStateIssuer
01165902MedicaidNY

National Provider Directory

National Provider Directory

Locations

176 E Mosholu Pkwy S
Bronx, NY 10458
Phone (718) 295-1010

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1487810289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E MOSHOLU PK WY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581174",
            "telephone_number": "718-367-6100",
            "fax_number": "718-733-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E MOSHOLU PK WY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581174",
            "telephone_number": "718-367-6100",
            "fax_number": "718-733-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L PLUMMER MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-367-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS PC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01165902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.