Active NPI
Robert L Mick, MD
- Addiction Medicine (Internal Medicine) Physician
- Rochester, NY
National Provider Identifier
1518002005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 148844
- Practice address
- 774 W Main St
Rochester, NY 14611-2331 - Phone
- (585) 279-5412
- Fax
- (585) 529-5121
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 148844 | NY | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 148844 | NY |
Addresses
Primary practice location
774 W Main St
Rochester, NY 14611-2331
Mailing address
7444 Weiland Rd
Bloomfield, NY 14469-9773
Phone (585) 657-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1518002005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 WEILAND RD",
"city": "BLOOMFIELD",
"state": "NY",
"postal_code": "144699773",
"telephone_number": "585-657-7228",
"fax_number": "585-657-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 W MAIN ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146112331",
"telephone_number": "585-279-5412",
"fax_number": "585-529-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICK",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "148844",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "NY",
"license": "148844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.