Robert C Urban, Jr. M.D. LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME63362 Issued in FL

Legal business name

ROBERT C URBAN, JR. M.D. LLC

Practice address

5425 Water St
New Port Richey, FL 34652-4030

Phone

(727) 807-7090

Fax

(727) 807-7076

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Charles Urban Jr., MDNPI 1669440947

Title

Owner/Doctor

Phone

(727) 807-7090

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C Urban Jr., M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • New Port Richey, FL
  • NPI 1669440947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1740298926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 WATER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524030",
            "telephone_number": "727-807-7090",
            "fax_number": "727-807-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 WATER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524030",
            "telephone_number": "727-807-7090",
            "fax_number": "727-807-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C URBAN, JR. M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "727-807-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "18181",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371540000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katarina Nicole Robalino
• Kayla Alexa Robalino
• Roberta G. Bennett, Ma MSW LCSW LLC
• Alyssa Roberts, DO
• Kristy Lynn Roberts, RPH
• Macie Roberts
• Danielle Rose Robertson, LCSW

• Ophthalmology Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.