Robert C Warner, Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

142633 Issued in NY

Legal business name

ROBERT C WARNER, JR., MD

Practice address

242 E State St Ext
Gloversville, NY 12078-6039

Phone

(518) 725-2227

Fax

(518) 725-2252

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Charles Warner Jr., MDNPI 1417925215

Title

Owner

Phone

(518) 725-2227

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C Warner Jr., M.D.

  • Internal Medicine Physician
  • Gloversville, NY
  • NPI 1417925215
  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1639115124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E STATE ST EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786039",
            "telephone_number": "518-725-2227",
            "fax_number": "518-725-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E STATE ST EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786039",
            "telephone_number": "518-725-2227",
            "fax_number": "518-725-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C WARNER, JR., MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-725-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "142633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP HEALTHPLAN",
            "identifier": "10002138",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWK VALLEY PHYSICIANS",
            "identifier": "11160",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "0000401408002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Rivenburgh, NP-P
• Victor Antonio Rivera Colon
• Lisa Robare
• Christine Robataille, RPH
• Joanne Louise Robbins, RN
• David A Rojek, O.D.
• Jusmaine Ann Rosales, PT, DPT
• Brieanne Ross, LMHC
• Rubeena Enterprise LLC
• Gail Rubinstein, PHARMD

• Specialist in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.