Active NPI
Stephanie Carter-Robin, D.P.M.
- Foot Surgery Podiatrist
- Jackson Heights, NY
National Provider Identifier
1750378568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N006168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03456351 | Medicaid | NY | |
| 000699003 | Medicaid | GA |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 16 |
| Removal of skin lesions | 129 |
| Removal of nail tissue | 402 |
| Removal or shaving of skin growth | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000771 | GA | MD | Psychologist |
| 006168 | NY | MD | Acupuncturist |
| N006168 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Carter-Robin DPM PC | Foot Surgery | Current | Accepting new patients |
| Loving Care Medical PC | Past | 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.
-
- Foot Surgery Podiatrist
- Jackson Heights, NY
- NPI 1861634875
-
- Family Medicine Physician
- South Ozone Park, NY
- NPI 1700123908
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.