Gonzalo Carino Robles Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

112233 Issued in NY

Practice address

4 Engineers Rd
Roslyn Harbor, NY 11576-1008

Phone

(516) 521-7040

Fax

(516) 213-4778

NPI assigned

Jun 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medici Healthcare Providers S.C

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1336267467
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710913207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ENGINEERS RD",
            "city": "ROSLYN HARBOR",
            "state": "NY",
            "postal_code": "115761008",
            "telephone_number": "516-521-7040",
            "fax_number": "516-213-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ENGINEERS RD",
            "city": "ROSLYN HARBOR",
            "state": "NY",
            "postal_code": "115761008",
            "telephone_number": "516-521-7040",
            "fax_number": "516-213-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "GONZALO",
        "middle_name": "CARINO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "112233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hurd Stix, ACSW BCD

• Family Medicine Physician in Roslyn Harbor, NY
• Providers in Roslyn Harbor, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.