Individual provider Active NPI

Robert I. Rattiner, M.D.

  • Cardiovascular Disease Physician
  • Williston Park, NY
National Provider Identifier
1881738375
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
194753 Issued in NY
Practice address
99 Hillside Avenue
Suite T
Williston Park, NY 11596
Phone
(516) 498-1965
Fax
(516) 504-0235
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194753 NY
Cardiovascular Disease Physician 207RC0000X 194753 NY Primary

Addresses

Primary practice location

99 Hillside Avenue
Suite T
Williston Park, NY 11596

Mailing address

99 Hillside Avenue
Suite T
Williston Park, NY 11596
Phone (516) 498-1965

Other identifiers 1

IdentifierTypeStateIssuer
02116952MedicaidNY

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
I20110629000154 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 7214115930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Geriatric Medicine, Internal Medicine, Preventive Medicine
Education
State University of New York Downstate Medical Center, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

99 Hillside Ave
Suite T
Williston Park, NY 11596-2353
Phone (516) 498-1965

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert I Rattiner MD PLLC Cardiovascular Disease CurrentSince May 26, 2011 Accepting new patients

Locations

99 Hillside Ave
Ste T
Williston Pk, NY 11596
Phone (516) 498-1965

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1881738375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVENUE",
            "address_2": "SUITE T",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "11596",
            "telephone_number": "516-498-1965",
            "fax_number": "516-504-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVENUE",
            "address_2": "SUITE T",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "11596",
            "telephone_number": "516-498-1965",
            "fax_number": "516-504-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTINER",
        "first_name": "ROBERT",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194753",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "194753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02116952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.