Mary Jo Roberts

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

324830 Issued in NY

Practice address

700 Harry L Dr
Johnson City, NY 13790-1145

Phone

(607) 770-1125

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710020862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 MARLBORO PL",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901145",
            "telephone_number": "607-770-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "324830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rivera, NP
• Riverbend Family Dental
• Riverside Surgery & Breastcare
• Mark Rivlin, MD
• Alexandra Marie Rizzo
• Rebecca Lee Robins, RD
• David Robinson, FNP
• Molly Robinson, NP
• Wendy Renee Robinson, NP
• Matthew Rodgers, CRNA

• Registered Nurse in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Registered Nurse in New York

• 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.

Verify at the official NPI Registry.