NPIMap

Organization Active NPI

The Nitesurgeon PLLC

  • Surgery Physician
  • Cornwall, NY
National Provider Identifier
1851618540
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
209975 Issued in NY
Legal business name
THE NITESURGEON PLLC
Practice address
21 Laurel Ave
Suite 240
Cornwall, NY 12518-1469
Phone
(845) 534-0008
Fax
(845) 534-0018
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Thomas V. Robb, DO
Title
Owner
Phone
(845) 534-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 209975 NY Primary

Addresses

Primary practice location

21 Laurel Ave
Suite 240
Cornwall, NY 12518-1469

Mailing address

21 Laurel Ave
Suite 240
Cornwall, NY 12518-1469
Phone (845) 534-0008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1851618540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 240",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181469",
            "telephone_number": "845-534-0008",
            "fax_number": "845-534-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "address_2": "SUITE 240",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181469",
            "telephone_number": "845-534-0008",
            "fax_number": "845-534-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NITESURGEON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-534-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "209975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.