Active NPI
Robin Gayle Manson, MD
- Internal Medicine Physician
- Ny, NY
National Provider Identifier
1578618443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 60243932
- Practice address
- 1275 York Avenue
Ny
Ny, NY 10021-0005 - Phone
- (212) 639-2000
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60243932 | NY | Primary |
Addresses
Primary practice location
1275 York Avenue
Ny
Ny, NY 10021-0005
Mailing address
1233 York Ave
New York
New York, NY 10065-6306
Phone (410) 804-7848
Other names 1
- Robin Gayle Veidt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60243932 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1578618443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 YORK AVE",
"address_2": "NEW YORK",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656306",
"telephone_number": "410-804-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVENUE",
"address_2": "NY",
"city": "NY",
"state": "NY",
"postal_code": "100210005",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSON",
"first_name": "ROBIN",
"middle_name": "GAYLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "60243932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "VEIDT",
"middle_name": "GAYLE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.