Individual provider Active NPI

Robert L. White, NP-C

  • Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1821237249
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F307948 Issued in NY
Practice address
154 Prospect Ave
Plattsburgh, NY 12901-1302
Phone
(201) 654-6397
Fax
(201) 608-9241
NPI assigned
Feb 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11006565 FL
Nurse Practitioner 363L00000X F307948 NY Primary

Addresses

Primary practice location

154 Prospect Ave
Plattsburgh, NY 12901-1302

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (201) 654-6397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208002108 NY Practitioner - Nurse Practitioner 6608156690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006565FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Medical of New York, PLLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

284 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1621

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

Organizations & group practices 1

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1821237249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 PROSPECT AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011302",
            "telephone_number": "201-654-6397",
            "fax_number": "201-608-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006565",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F307948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.