Individual provider Active NPI

Robert Fulop

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1861461345
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
138475 Issued in NY
Practice address
476 Klondike Ave
Staten Island, NY 10314-6216
Phone
(718) 761-1156
Fax
(718) 761-1047
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 138475 NY Primary

Addresses

Primary practice location

476 Klondike Ave
Staten Island, NY 10314-6216

Mailing address

476 Klondike Ave
Staten Island, NY 10314-6216
Phone (718) 761-1156

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
I20050525000150 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8123069754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
State University of Ny Upstate Medical University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

476 Klondike Ave
Staten Island, NY 10314-6216
Phone (718) 761-1156

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine of New York University Internal Medicine CurrentSince May 8, 2018 Accepting new patients
Mount Sinai School of Medicine of New York University CurrentSince May 8, 2018 Accepting new patients

Locations

476 Klondike Ave
Staten Island, NY 10314
Phone (718) 494-7670

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

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

Interoperability endpoints

  • Direct secure messaging: rfulop65768@northwell.direct-ci.com

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861461345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146216",
            "telephone_number": "718-761-1156",
            "fax_number": "718-761-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146216",
            "telephone_number": "718-761-1156",
            "fax_number": "718-761-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULOP",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.