Roberts Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

112714-1 Issued in NY

Legal business name

ROBERTS MEDICAL PC

Practice address

2417 Richmond Rd
Staten Island, NY 10306-2336

Phone

(732) 972-5172

Fax

(732) 972-5176

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Patti Morelli

Title

Office MGR

Phone

(732) 972-5172

Specialties & licenses 2

Addresses

Tax ID family

Roberts Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Roberts Medical PC

  • Physical Therapy Clinic/Center
  • North Baldwin, NY
  • NPI 1285964924
  NPD tax ID
• Roberts Medical PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1578893210
  NPD tax ID
• Roberts Medical PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1639408305
  NPD tax ID

Locations

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1558690248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DUNCAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511649",
            "telephone_number": "732-972-5172",
            "fax_number": "732-972-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062336",
            "telephone_number": "732-972-5172",
            "fax_number": "732-972-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE  MGR",
        "authorized_official_telephone_number": "732-972-5172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112714-1",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lapenna M.D, PC
• Robert Laudicino MD PC
• Robert S Jutkowitz MD PC
• Robert V Simeone DC PC
• Joseph W Roberts MD, MD
• Roberts Medical PC
• Elsie Sadeama Roberts-Johnson, RN
• Cassidy Roberts, LMSW
• Gracie-Ann Samadh Roberts, PHYSICIAN ASSISTANT
• Howard D Roberts

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.