Individual provider Active NPI

Robert L. Paltzik, MD

  • Specialist
  • Williston Park, NY
National Provider Identifier
1750473559
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
122707-1 Issued in NY
Practice address
2 Hillside Ave Ste G
Williston Park, NY 11596-2335
Phone
(516) 747-2230
Fax
(516) 747-1087
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 122707-1 NY Primary

Addresses

Primary practice location

2 Hillside Ave Ste G
Williston Park, NY 11596-2335

Mailing address

2 Hillside Ave Ste G
Williston Park, NY 11596-2335
Phone (516) 747-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122707-1NYMDSpecialist
1227071NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1750473559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE AVE STE G",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962335",
            "telephone_number": "516-747-2230",
            "fax_number": "516-747-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE AVE STE G",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962335",
            "telephone_number": "516-747-2230",
            "fax_number": "516-747-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALTZIK",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "122707-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.