Active NPI
Robyn Pemberton, MD
- Pediatrics Physician
- Rockville, CT
National Provider Identifier
1821012238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042621
- Practice address
- 31 Union Street
Rockville General Hospital
Rockville, CT 06066 - Phone
- (860) 872-5152
- Fax
- (860) 872-5257
- NPI assigned
- Jul 27, 2006
- Last updated
- Feb 1, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042621 | CT | Primary |
Addresses
Primary practice location
31 Union Street
Rockville General Hospital
Rockville, CT 06066
Mailing address
31 Union Street
Rockville General Hospital
Vernon, CT 06066
Phone (860) 872-5152
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042621 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank, J. Bush, M.D., PC | Pediatrics | Past | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastern CT Medical Professionals
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
-
- Pediatrics Physician
- Manchester, CT
- NPI 1538285119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1821012238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 UNION STREET",
"address_2": "ROCKVILLE GENERAL HOSPITAL",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-872-5152",
"fax_number": "860-872-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 UNION STREET",
"address_2": "ROCKVILLE GENERAL HOSPITAL",
"city": "ROCKVILLE",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-872-5152",
"fax_number": "860-872-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "ROBYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "042621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.