Individual provider Active NPI

Robert Carras, M.D.

  • Neurological Surgery Physician
  • Port Washington, NY
National Provider Identifier
1801028261
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
078105 Issued in NY
Practice address
21 South Rd
Port Washington, NY 11050-2618
Phone
(516) 883-6220
Fax
(516) 883-6220
NPI assigned
Aug 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 078105 NY Primary

Addresses

Primary practice location

21 South Rd
Port Washington, NY 11050-2618

Mailing address

21 South Rd
Port Washington, NY 11050-2618
Phone (516) 883-6220

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 Medicine

State licenses

LicenseStateTypeSpecialty
078105NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Neurosurgical Associates PC Neurological Surgery PastSince Aug 1, 2015 Accepting new patients
Winthrop Neuro-Science Medical PC Past Accepting new patients

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": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1801028261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502618",
            "telephone_number": "516-883-6220",
            "fax_number": "516-883-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTH RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502618",
            "telephone_number": "516-883-6220",
            "fax_number": "516-883-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAS",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "078105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.