Robert Donald Branch Jr., PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

008256-1 Issued in NY

Practice address

290 E Main St Ste 700
Smithtown, NY 11787-2916

Phone

(718) 419-1649

Fax

(631) 361-5376

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rbranch@direct.meditouchehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastside Physicians of Nyc, PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1144947029
  Medicare reassignment
• Upstate Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Woodmere, NY
  • NPI 1174194856
  Medicare reassignment
• Urgent Care Physician of New York-Hartsdale PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1770885808
  Medicare reassignment
• Eastside Physicians of Nyc, PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730820614
  NPD (past)
• Emergency Medical Metro P C

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1154376150
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1629293154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "718-419-1649",
            "fax_number": "631-361-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 700",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "718-419-1649",
            "fax_number": "631-361-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "ROBERT",
        "middle_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bracha Fishman
• Kimberly Brady-Marder
• Robert James Brancale, PHARMD
• Branch Medical Associates, P.C.
• Branch Pediatrics and Adolescent Group P.C.
• Ronald Braun, DDS
• Jillian Braverman
• Keith Breglio, M.D.
• Dara Gail Brener, MD
• Lisa Brenner

• Surgical Physician Assistant in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.