Individual provider Active NPI

Robert S Macbarb, DC

  • Chiropractor
  • Water Mill, NY
National Provider Identifier
1912084583
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3356 Issued in NY
Practice address
1414 Montauk Hwy
Water Mill, NY 11976-2631
Phone
(631) 726-6220
Fax
(631) 726-6447
NPI assigned
Nov 1, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3356 NY Primary

Addresses

Primary practice location

1414 Montauk Hwy
Water Mill, NY 11976-2631

Mailing address

1414 Montauk Hwy
Water Mill, NY 11976-2631
Phone (631) 726-6220

Other identifiers 2

IdentifierTypeStateIssuer
P463335OtherNYOXFORD
880033OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000613 NY Practitioner - Chiropractic 8729161112 Practice locations: Water Mill, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1414 Montauk Hwy
Water Mill, NY 11976-2631
Phone (631) 726-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3356NYMDChiropractor
003356NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1912084583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MONTAUK HWY",
            "city": "WATER MILL",
            "state": "NY",
            "postal_code": "119762631",
            "telephone_number": "631-726-6220",
            "fax_number": "631-726-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MONTAUK HWY",
            "city": "WATER MILL",
            "state": "NY",
            "postal_code": "119762631",
            "telephone_number": "631-726-6220",
            "fax_number": "631-726-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBARB",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P463335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "880033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Mill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.