Individual provider Active NPI

Robert Marc Meltzer

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1831121631
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
145071 Issued in NY
Practice address
103 E 75TH St
Ground Floor
New York, NY 10021-2805
Phone
(212) 879-4456
Fax
(212) 772-7062
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 145071 NY Primary

Addresses

Primary practice location

103 E 75TH St
Ground Floor
New York, NY 10021-2805

Mailing address

103 E 75TH St
Ground Floor
New York, NY 10021-2805
Phone (212) 879-4456

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061021000007 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6800893512 Reassigns benefits to 3 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groupo Medico Dominicano PLLCGroup PAC ID 8123125945, 8 clinicians

Practice addresses (Care Compare)

629 W 185TH St
New York, NY 10033-3102
Phone (212) 928-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
360 Complete Medical PC CurrentSince May 28, 2024 Accepting new patients
Groupo Medico Dominicano PLLC CurrentSince Jun 1, 2011 Accepting new patients
Amb Medical Services, P.C. CurrentSince Jul 21, 2008 Accepting new patients
Park Avenue Medical Weight and Wellness P.C. Past Accepting new patients
Medical Office of Manhattan PLLC Past Accepting new patients

Locations

1 Kings Hwy
Hauppauge, NY 11788
Phone (631) 342-1546

120 E 56th St
Fl 14
New York, NY 10022
Phone (212) 348-5100

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
Ste 3
New York, NY 10033
Phone (212) 543-3500

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1831121631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 75TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212805",
            "telephone_number": "212-879-4456",
            "fax_number": "212-772-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 75TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212805",
            "telephone_number": "212-879-4456",
            "fax_number": "212-772-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "145071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.