Organization Active NPI

Robert J Mulcare MD PC

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1538255336
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
087771 Issued in NY
Legal business name
ROBERT J MULCARE MD PC
Practice address
3 East 74TH St
Suite 1E
New York, NY 10021-2604
Phone
(212) 744-1515
Fax
(212) 744-1547
NPI assigned
Oct 5, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Dr. Robert John Mulcare, MD
Title
President
Phone
(212) 744-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X 087771 NY Primary

Addresses

Primary practice location

3 East 74TH St
Suite 1E
New York, NY 10021-2604

Mailing address

3 East 74TH St
Suite 1E
New York, NY 10021-2604
Phone (212) 744-1515

Other identifiers 1

IdentifierTypeStateIssuer
001381473MedicaidNY

National Provider Directory

National Provider Directory

Locations

3 E 74th St
#1E
New York, NY 10021
Phone (212) 753-4544

3 E 74th St
Ste 1E
New York, NY 10021
Phone (212) 744-1515

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1538255336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EAST 74TH ST",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212604",
            "telephone_number": "212-744-1515",
            "fax_number": "212-744-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EAST 74TH ST",
            "address_2": "SUITE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212604",
            "telephone_number": "212-744-1515",
            "fax_number": "212-744-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MULCARE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "MULCARE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-744-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "087771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001381473",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.