Active NPI
Robert Anthony Brugna, PA-C, PHD
- Physician Assistant
- Dix Hills, NY
National Provider Identifier
1780982504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002466-1
- Practice address
- 306 Nielson St
Dix Hills, NY 11746-7017 - Phone
- (631) 586-8460
- NPI assigned
- Mar 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002466-1 | NY | Primary |
Addresses
Primary practice location
306 Nielson St
Dix Hills, NY 11746-7017
Mailing address
306 Nielson St
Dix Hills, NY 11746-7017
Phone (631) 586-8460
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002466-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1780982504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 NIELSON ST",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467017",
"telephone_number": "631-586-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 NIELSON ST",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467017",
"telephone_number": "631-586-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUGNA",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Prof.",
"credential": "PA-C, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002466-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.