Individual provider Active NPI

Joseph W Roberts MD, MD

  • Specialist
  • Staten Island, NY
National Provider Identifier
1649340589
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
300229809 Issued in NY
Practice address
3700 Richmond Avenue
Second Floor
Staten Island, NY 10312
Phone
(718) 273-8111
Fax
(718) 273-4774
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 300229809 NY Primary

Addresses

Primary practice location

3700 Richmond Avenue
Second Floor
Staten Island, NY 10312

Mailing address

3700 Richmond Avenue
Second Floor
Staten Island, NY 10312
Phone (718) 948-8111

Other identifiers 1

IdentifierTypeStateIssuer
01296377MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000324 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5991854820 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058

355 Bard Ave
Staten Island, NY 10310-1664

4360 Hylan Blvd
Staten Island, NY 10312-6533
Phone (718) 818-5000

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
300229809NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 28, 2019 Accepting new patients
Amboy Medical Practice PC CurrentSince Jul 1, 2017 Accepting new patients
Amboy Medical Practice PC CurrentSince Jul 1, 2017 Accepting new patients
Island Nurse Practitioner in Family Health, PLLC PastSince Aug 15, 2010 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

3700 Richmond Ave
Staten Island, NY 10312
Phone (718) 948-8111

3700 Richmond Ave
Ste 2
Staten Island, NY 10312
Phone (718) 273-8111

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

4360 Hylan Blvd
Staten Island, NY 10312
Phone (718) 818-4360

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: joseph.roberts.1@19656.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1649340589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 RICHMOND AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-948-8111",
            "fax_number": "718-948-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RICHMOND AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10312",
            "telephone_number": "718-273-8111",
            "fax_number": "718-273-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS MD",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "300229809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.