Active NPI
Robert S Macbarb, DC
- Chiropractor
- Water Mill, NY
National Provider Identifier
1912084583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X3356
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P463335 | Other | NY | OXFORD |
| 880033 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X3356 | NY | MD | Chiropractor |
| 003356 | NY | MD | Audiologist |
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.