Active NPI
Robin Rhonda Bromberg, D.C.
- Chiropractor
- Port Washington, NY
National Provider Identifier
1649389339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3461
- Practice address
- 58 Morewood Oaks
Port Washington, NY 11050-1624 - Phone
- (516) 767-7220
- Fax
- (516) 944-9427
- NPI assigned
- Aug 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3461 | NY | Primary |
Addresses
Primary practice location
58 Morewood Oaks
Port Washington, NY 11050-1624
Mailing address
58 Morewood Oaks Ste 100
Port Washington, NY 11050-1624
Phone (516) 767-7220
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001495 | Other | NY | AMERICAN SPECIALTIES HEAL |
| 1C8145 | Other | NY | HEALTHNET |
| 2218184 | Other | NY | AETNA US HEALTHCARE |
| 373795 | Other | NY | UNITED HEALTHCARE |
| X5L472 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| 938353 | Other | NY | LANDMARK |
| 802180 | Other | NY | MPN |
| 931383 | Other | NY | ACN |
| 3461-3 | Other | NY | WORKERS COMP |
| P801227 | Other | NY | OXFORD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3461 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1649389339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MOREWOOD OAKS STE 100",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501624",
"telephone_number": "516-767-7220",
"fax_number": "516-944-9427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MOREWOOD OAKS",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501624",
"telephone_number": "516-767-7220",
"fax_number": "516-944-9427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMBERG",
"first_name": "ROBIN",
"middle_name": "RHONDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "3461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTIES HEAL",
"identifier": "1001495",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1C8145",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2218184",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "373795",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "X5L472",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "938353",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "802180",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "931383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "3461-3",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P801227",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.