Robert Andrew Tufano, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

187554 Issued in NY

Practice address

201 Portion Rd
Lake Ronkonkoma, NY 11779

Phone

(631) 981-1333

Fax

(631) 981-2326

NPI assigned

Jan 15, 2007

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Lake Family Medical Practice PC

  • Family Medicine Physician
  • Lake Ronkonkoma, NY
  • NPI 1639923675
  Medicare reassignment NPD Authorized official
• Island Wide Medical Care PLLC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1558049577
  NPD

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1851442966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRUNO LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467101",
            "telephone_number": "631-243-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-981-1333",
            "fax_number": "631-981-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFANO",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "187554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01376681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suganthi Ravindran Physician P.C
• Justin Michael Taylor I, LICENSED MSW
• Theodore Fried Burford Welch & David Hauer MD, PC
• Keyana Maria Thomas
• Sara Diane Tolson, TSSLD
• Joseph John Valerio, PT
• Victoria Ann Valerio, PT
• Value Village II, LLC
• Nicole Marie Vilardi
• Rick Joseph Villalba, RN

• Family Medicine Physician in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.