NPIMap

Organization Active NPI

Stephanie Carter-Robin DPM PC

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1861634875
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006168 Issued in NY
Legal business name
STEPHANIE CARTER-ROBIN DPM PC
Practice address
8428 Roosevelt Ave
Jackson Heights, NY 11372-7341
Phone
(718) 424-4989
Fax
(718) 313-0464
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Stephanie Carter-Robin, D.P.M.NPI 1750378568
Title
Owner
Phone
(718) 424-4989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N006168 NY Primary

Addresses

Primary practice location

8428 Roosevelt Ave
Jackson Heights, NY 11372-7341

Mailing address

8428 Roosevelt Ave
Jackson Heights, NY 11372-7341
Phone (718) 424-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090915000085 NY Part B Supplier - Clinic/Group Practice 7315093408 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Jackson Heights, NY; New York, NY; South Ozone Park, NY
O20140319000981 NY DME Supplier - Physician - Podiatry 7315093408 Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

8428 Roosevelt Ave
Jackson Hts, NY 11372
Phone (718) 424-4989

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1861634875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-424-4989",
            "fax_number": "718-313-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727341",
            "telephone_number": "718-424-4989",
            "fax_number": "718-313-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CARTER-ROBIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "CARTER-ROBIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-424-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.