Robert Glen Larsen, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

60-258701 Issued in NY

Practice address

7411 263Rd St Apt A1
Glen Oaks, NY 11004-1161

Phone

(503) 330-6123

NPI assigned

Oct 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Marshland Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Plantation, FL
  • NPI 1154696961
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1790095032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 263RD ST APT A1",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041161",
            "telephone_number": "503-330-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 263RD ST APT A1",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041161",
            "telephone_number": "503-330-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "60-258701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Kwiecinska, PMHNP
• Jehn Lam
• Alexandra Teresa Landau, MD
• Yevgeniya Lapitskaya, M.D.
• Dawn Laporte, MD
• Christine Jisun Lee, PHD
• Jennifer Lee
• Min Hyung Lee, MD
• Nancy W Lee, LMSW
• Richard Lee

• Emergency Medicine Physician in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.