Individual provider Active NPI

Lisa-Gaye E Robinson, MD

  • Pediatrics Physician
  • Ft Lauderdale, FL
National Provider Identifier
1861591018
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
121256 Issued in FL
Practice address
1401 S Federal Hwy
Ft Lauderdale, FL 33316-2619
Phone
(954) 728-8080
Fax
(954) 779-1957
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 121256 FL Primary
Pediatrics Physician 208000000X 204443 NY

Addresses

Primary practice location

1401 S Federal Hwy
Ft Lauderdale, FL 33316-2619

Mailing address

1608 SE 3Rd Avenue
Third Floor Pbo
Ft Lauderdale, FL 33316-2654
Phone (954) 728-8080

Other identifiers 2

IdentifierTypeStateIssuer
02205549MedicaidNY
017338400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161101001425 FL Practitioner - Pediatric Medicine 8729007323 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121256FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Diagnostic & Treatment Center Inc Pediatrics CurrentSince Oct 24, 2016 Accepting new patients
Childrens Diagnostic & Treatment Center Inc CurrentSince Oct 24, 2016 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics Past Accepting new patients

Locations

1401 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 728-1083

Interoperability endpoints

  • Direct secure messaging: lisagaye.robinsonmd.p1@direct.browardhealth.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1861591018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVENUE",
            "address_2": "THIRD FLOOR PBO",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162654",
            "telephone_number": "954-728-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-8080",
            "fax_number": "954-779-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LISA-GAYE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "121256",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "204443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205549",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017338400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.