Individual provider Active NPI

Robin L Bliss, MD

  • Obstetrics & Gynecology Physician
  • Hauppauge, NY
National Provider Identifier
1871564005
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
181368 Issued in NY
Practice address
200 Motor Pkwy
Suite D22
Hauppauge, NY 11788-5100
Phone
(631) 435-4322
Fax
(631) 435-3423
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 181368 NY Primary

Addresses

Primary practice location

200 Motor Pkwy
Suite D22
Hauppauge, NY 11788-5100

Mailing address

267 E Main St
BLDG C
Smithtown, NY 11787-2874
Phone (631) 724-8585

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
I20070315000160 NY Practitioner - Obstetrics/Gynecology 7618070475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181368NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Oct 20, 2014 Accepting new patients
Family Residences and Essential Enterprises, Inc. Past Accepting new patients

Locations

200 Motor Pkwy
Ste D22
Hauppauge, NY 11788
Phone (631) 273-1258

200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666

300 Community Dr
Plandome, NY 11030

118 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 376-0055

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: robinbliss@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1871564005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BLDG C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "631-724-8585",
            "fax_number": "631-265-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY",
            "address_2": "SUITE D22",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885100",
            "telephone_number": "631-435-4322",
            "fax_number": "631-435-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "181368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.