Organization Active NPI

James R. Robusto

Doing business as Urbanna Family Practice,PLC

  • Family Medicine Physician
  • Urbanna, VA
National Provider Identifier
1619157013
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101037187 Issued in VA
Legal business name
JAMES R. ROBUSTO
Doing business as
Urbanna Family Practice,PLC
Practice address
5399 Old Virginia St.
Urbanna, VA 23175-0880
Phone
(804) 758-2110
Fax
(804) 758-0256
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Kerry A Robusto
Title
Office Manager
Phone
(804) 758-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101037187 VA Primary

Addresses

Primary practice location

5399 Old Virginia St.
Urbanna, VA 23175-0880

Mailing address

PO Box 880
Urbanna, VA 23175-0880
Phone (804) 758-2110

Other identifiers 3

IdentifierTypeStateIssuer
080009697OtherVAMEDICARE RAILROAD
C06252OtherVAMEDICARE PTAN
5670411MedicaidVA

Other names 1

  • Urbanna Family Practice,PLC Doing business as

National Provider Directory

National Provider Directory

Locations

5399 Old Virginia St
Urbanna, VA 23175
Phone (804) 758-2110

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1619157013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231750880",
            "telephone_number": "804-758-2110",
            "fax_number": "804-758-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 OLD VIRGINIA ST.",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231750880",
            "telephone_number": "804-758-2110",
            "fax_number": "804-758-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. ROBUSTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "ROBUSTO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-758-2110"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101037187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080009697",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C06252",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5670411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbanna Family Practice,PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbanna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.