Robert J. Accettola, MD, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101039484 Issued in VA

Legal business name

ROBERT J. ACCETTOLA, MD, LLC

Practice address

3737 High St
Portsmouth, VA 23707-2405

Phone

(757) 686-9400

Fax

(757) 686-9449

NPI assigned

Sep 15, 2006

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christy L Crodick, R.N.

Title

Practice Administrator

Phone

(757) 606-2012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Interventional and Clinical Cardiology Other name

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1811093495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072405",
            "telephone_number": "757-686-9400",
            "fax_number": "757-686-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072405",
            "telephone_number": "757-686-9400",
            "fax_number": "757-686-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. ACCETTOLA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "CRODICK",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-606-2012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101039484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O10109060",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional and Clinical Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Roark, MS CCC-SLP
• Juan C Robayo, PA-C
• Danisha Lexine Robbins, PH.D.
• Patsy Copeland Robbins, R.PH.
• Nekeia Remoan Roberson, RDH
• Beryl Roberts Plum
• Alfred Mack Roberts, MD
• Brandon Roberts, LMSW
• Chad Nathan Roberts, SUBMARINE IDC
• Lisa Gayle Roberts, RN

• Cardiovascular Disease Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.