Individual provider Active NPI

Robert Joshua Dym, MD

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1679897185
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
255874-1 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-4321
NPI assigned
Mar 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 255874-1 NY
Diagnostic Radiology Physician 2085R0202X 255874-1 NY Primary
Therapeutic Radiology Physician 2085R0203X 255874-1 NY
Diagnostic Ultrasound Physician 2085U0001X 255874-1 NY
Diagnostic Radiology Physician 2085R0202X 25MA0942030 NJ

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

622 Churchill Rd
Teaneck, NJ 07666-2956
Phone (347) 218-1256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101006000951 NY Practitioner - Diagnostic Radiology 8820280043 Reassigns benefits to 3 organizations
I20170427002060 NJ Practitioner - Diagnostic Radiology 8820280043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center - MMC Radiology FPPGroup PAC ID 1456241447, 56 clinicians

Practice addresses (Care Compare)

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900

30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-7500

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0942030NJMDDiagnostic Radiology Physician
255874-1NYMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Aug 15, 2022 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Jun 24, 2010 Accepting new patients
University Physician Associates of New Jersey Inc Body Imaging Current Accepting new patients
University Physician Associates of New Jersey, Inc. CurrentSince Feb 25, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 24, 2010 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Feb 25, 2017 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 15, 2022 Accepting new patients

Locations

30 Bergen St
Ste 1205
Newark, NJ 07107
Phone (973) 972-0037

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

111 E 210th St
Bronx, NY 10467

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1679897185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662956",
            "telephone_number": "347-218-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYM",
        "first_name": "ROBERT",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "255874-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "255874-1",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "255874-1",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "255874-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA0942030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.