Robert M Erickson

Primary specialty

SpecialistTaxonomy code 174400000X

License

009855-1 Issued in NY

Practice address

230 Buffalo St
Hamburg, NY 14075-5011

Phone

(716) 648-5211

Fax

(716) 649-0075

NPI assigned

Dec 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hamburg Physical Therapy, P.C.

  • Specialist
  • Hamburg, NY
  • NPI 1053462432
  NPD (past) Authorized official
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720146582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755011",
            "telephone_number": "716-648-5211",
            "fax_number": "716-649-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BUFFALO ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755011",
            "telephone_number": "716-648-5211",
            "fax_number": "716-649-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "009855-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "060131000013",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUFFALO COMMUNITY HEALTH",
            "identifier": "00025183901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empire Vision Center Inc
• Nicole M Enzinna, D.C., LMT
• Joseph Anthony Eppolito, RPH
• Jane Epstein, LCSW-R
• Eric H. Goodwin MD PC
• Evergreen Optometry PLLC
• Eric Fattey, PT DPT
• Donna Fazekas, LCSW-R
• Rebecca Fazio, LMSW
• John Patrick Feldmann, MS CCC-SLP

• Specialist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Specialist 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.