Individual provider Active NPI

Stephanie Carter-Robin, D.P.M.

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1750378568
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006168 Issued in NY
Practice address
8428 Roosevelt Ave
Jackson Heights, NY 11372-7341
Phone
(718) 424-4989
Fax
(718) 313-0464
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006168 NY Primary
Foot Surgery Podiatrist 213ES0131X POD000771 GA

Addresses

Primary practice location

8428 Roosevelt Ave
Jackson Heights, NY 11372-7341

Mailing address

8428 Roosevelt Ave
Jackson Heights, NY 11372-7341
Phone (718) 424-4989

Other identifiers 2

IdentifierTypeStateIssuer
03456351MedicaidNY
000699003MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061107000292 NY Practitioner - Podiatry 6204871080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8428 Roosevelt Ave
Jackson Heights, NY 11372-7341
Phone (718) 424-4989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions129
Removal of nail tissue402
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000771GAMDPsychologist
006168NYMDAcupuncturist
N006168NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Carter-Robin DPM PC Foot Surgery CurrentSince Jun 10, 2009 Accepting new patients
Loving Care Medical PC PastSince Mar 26, 2016 Accepting new patients

Locations

8428 Roosevelt Ave
Jackson Hts, NY 11372
Phone (718) 424-4989

13203 120th Ave
South Ozone Park, NY 11420
Phone (718) 374-6844

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1750378568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-424-4989",
            "fax_number": "718-313-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-424-4989",
            "fax_number": "718-313-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-ROBIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006168",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD000771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03456351",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000699003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.