Active NPI
Robin Smith, MD
- Urology Physician
- New York, NY
National Provider Identifier
1629432760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 211661
- Practice address
- 420 Lexington Ave
Suite 350
New York, NY 10170-0002 - Phone
- (212) 584-4174
- NPI assigned
- Apr 5, 2016
- Last updated
- Apr 5, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 211661 | NY | Primary |
| Urology Physician | 208800000X | ME77460 | FL | |
| Urology Physician | 208800000X | K7618 | TX | |
| Urology Physician | 208800000X | C10004448 | DE | |
| Urology Physician | 208800000X | 038592 | CT |
Addresses
Primary practice location
420 Lexington Ave
Suite 350
New York, NY 10170-0002
Mailing address
930 5TH Ave
Suite 8H
New York, NY 10021-2651
Phone (917) 691-7409
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C10004448 | Other | DE | LICENSE |
| ME77460 | Other | FL | LICENSE |
| K7618 | Other | TX | LICENSE |
| 211661 | Other | NY | LICENSE |
| 038592 | Other | CT | LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038592 | CT | MD | Urology Physician |
| C10004448 | DE | MD | Urology Physician |
| ME77460 | FL | MD | Urology Physician |
| 211661 | NY | MD | Urology Physician |
| K7618 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRM Holdings | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- New York, NY
- NPI 1588025654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1629432760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 5TH AVE",
"address_2": "SUITE 8H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212651",
"telephone_number": "917-691-7409",
"fax_number": "212-656-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LEXINGTON AVE",
"address_2": "SUITE 350",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101700002",
"telephone_number": "212-584-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "211661",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME77460",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "K7618",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "DE",
"license": "C10004448",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "038592",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C10004448",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME77460",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "K7618",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "211661",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "038592",
"state": "CT"
}
],
"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 Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.