Active NPI
Thomas Robinson, M.D.
- Family Medicine Physician
- Poughkeepsie, NY
National Provider Identifier
1831108307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 161921
- Practice address
- 21 Springside Ave
Poughkeepsie, NY 12603-1837 - Phone
- (845) 485-2720
- Fax
- (845) 454-0405
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 161921 | NY | Primary |
Addresses
Primary practice location
21 Springside Ave
Poughkeepsie, NY 12603-1837
Mailing address
21 Springside Ave
Poughkeepsie, NY 12603-1837
Phone (845) 485-2720
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000693 | NY | Practitioner - Family Practice | 2264502954 | Practice locations: Poughkeepsie, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161921 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1831108307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SPRINGSIDE AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126031837",
"telephone_number": "845-485-2720",
"fax_number": "845-454-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPRINGSIDE AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126031837",
"telephone_number": "845-485-2720",
"fax_number": "845-454-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "161921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.