Active NPI
Robert J Gottlieb, DPM
- Podiatrist
- Oyster Bay, NY
National Provider Identifier
1922002716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002806
- Practice address
- 188 W Main St
Oyster Bay, NY 11771-2229 - Phone
- (516) 922-0502
- Fax
- (516) 922-0289
- NPI assigned
- Jun 9, 2005
- Reactivated
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002806 | NY | Primary |
Addresses
Primary practice location
188 W Main St
Oyster Bay, NY 11771-2229
Mailing address
188 W Main St
Oyster Bay, NY 11771-2229
Phone (516) 922-0502
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
188 W Main St
Oyster Bay, NY 11771-2267
Phone (516) 922-0502
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 151 |
| Removal of skin lesions | 84 |
| Removal of nail tissue | 771 |
| Removal or shaving of skin growth | 304 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N002806 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Gottlieb, DPM, PC | Podiatrist | Current | Accepting new patients |
| Robert J. Gottlieb, DPM, PC | Podiatrist | Past | Accepting new patients |
| Robert J. Gottlieb, DPM, PC | Past | Accepting new patients |
Locations
283 Commack Rd
Commack, NY 11725
Phone (631) 462-2980
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFBHDD/Endpoint/IFBHDD
Organizations & group practices 3
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.
-
- Podiatrist
- Oyster Bay, NY
- NPI 1720294101
-
- Foot Surgery Podiatrist
- Oyster Bay, NY
- NPI 1104072404
-
- Primary Podiatric Medicine Podiatrist
- Babylon, NY
- NPI 1790013597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1922002716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 W MAIN ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712229",
"telephone_number": "516-922-0502",
"fax_number": "516-922-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 W MAIN ST",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117712229",
"telephone_number": "516-922-0502",
"fax_number": "516-922-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.