Active NPI
Robert G Hutcheon, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1699866947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 140947
- Practice address
- 170 W 12TH St
Pediatrics/Genetics
New York, NY 10011-8202 - Phone
- (212) 356-4474
- Fax
- (212) 356-4608
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 140947 | NY | Primary |
Addresses
Primary practice location
170 W 12TH St
Pediatrics/Genetics
New York, NY 10011-8202
Mailing address
450 W 33Rd St
PBS 12TH Floor
New York, NY 10001-2603
Phone (212) 356-4474
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 |
|---|---|---|---|
| 140947 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | 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 and National Provider Directory roles.
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- Paterson, NJ
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699866947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W 33RD ST",
"address_2": "PBS 12TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012603",
"telephone_number": "212-356-4474",
"fax_number": "212-356-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W 12TH ST",
"address_2": "PEDIATRICS/GENETICS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118202",
"telephone_number": "212-356-4474",
"fax_number": "212-356-4608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHEON",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "140947",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.