Mark B Robel, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

113855 Issued in CT

Practice address

255 Hempstead St
New London, CT 06320-6204

Phone

(860) 443-2896

Fax

(860) 442-5909

NPI assigned

Mar 27, 2007

Last updated

Jan 21, 2015By 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 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mark.robel@ctproviderdirect.org

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1861511560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206204",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HEMPSTEAD ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206204",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBEL",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "230954",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101.0058221",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "113855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE RN #",
            "identifier": "101.0058221",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNCB CERTIFICATION NUMBER",
            "identifier": "20051093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE RN NUMB",
            "identifier": "230954",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Rissi, M.D.
• Marcie Rivera, LADC
• Mary Louise Robbenhaar-Fretz, APRN, CPNP
• Danielle J Robbins, PA
• Sheldon Mark Robbins, MD
• Robert M Spitz ,MD
• Robert S. Carnevale, DMD, PC
• Robert Spitz MD, Dba Montauk GYN
• James Robertson, BS
• Karen Louise Robertson, R.D.H.

• Pediatric Nurse Practitioner in New London, CT
• Providers in New London, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.