Individual provider Active NPI

Robert I Lynn, MD

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1851388862
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
125759 Issued in NY
Practice address
1200 Waters PL
Suite M104
Bronx, NY 10461-2728
Phone
(718) 794-1200
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125759 NY
Nephrology Physician 207RN0300X 125759 NY Primary

Addresses

Primary practice location

1200 Waters PL
Suite M104
Bronx, NY 10461-2728

Mailing address

2452 Bronx Park E
Bronx, NY 10467-7503
Phone (718) 655-4956

Other identifiers 1

IdentifierTypeStateIssuer
00410682MedicaidNY

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
I20051027000864 NY Practitioner - Internal MedicinePractitioner - Nephrology 4789601840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Columbia University College of Physicians and Surgeons, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Medical Associates PLLCGroup PAC ID 5698071868, 11 clinicians

Practice addresses (Care Compare)

2452 Bronx Park E
Bronx, NY 10467-7503
Phone (718) 655-4956

Hospital & facility affiliations

  • DaVita Bronx Dialysis Center Dialysis facility, Bronx, NY, CCN 332563
  • DaVita Bronxchester Home Training At Home Dialysis facility, Bronx, NY, CCN 332813
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163283NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Medical Associates PLLC CurrentSince Mar 1, 2016 Accepting new patients
Bronx Nephrology Hypertension PC Nephrology PastSince Mar 1, 2016 Accepting new patients
Janice M. Gelfand, MD PLLC Past Accepting new patients
Allison J. Beitler, MD, PLLC PastSince Jul 1, 2006 Accepting new patients

Locations

1200 Waters Pl
Ste M104
Bronx, NY 10461
Phone (718) 794-1200

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

2452 Bronx Park E
Bronx, NY 10467
Phone (718) 379-8100

34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

Networks

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

Interoperability endpoints

  • Direct secure messaging: robert.lynn@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1851388862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 BRONX PARK E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677503",
            "telephone_number": "718-655-4956",
            "fax_number": "718-652-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-794-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125759",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "125759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.