Individual provider Active NPI

Robert Martin Nelson, D.M.D.

  • General Practice Dentistry
  • Cobleskill, NY
National Provider Identifier
1962689919
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053538 Issued in NY
Practice address
Cobleskill Dental Group, PC
106 Division St.
Cobleskill, NY 12043
Phone
(518) 234-4365
NPI assigned
Jan 22, 2008
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053538 NY Primary

Addresses

Primary practice location

Cobleskill Dental Group, PC
106 Division St.
Cobleskill, NY 12043

Mailing address

106 Division St.
Cobleskill, NY 12043
Phone (518) 234-4365

Other practice location 1

875 Mamaroneck Ave
Suite 302
Mamaroneck, NY 10543-1900
Phone (914) 835-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
053538NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Mobile Dental, P.C. General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1962689919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DIVISION ST.",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "12043",
            "telephone_number": "518-234-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COBLESKILL DENTAL GROUP, PC",
            "address_2": "106 DIVISION ST.",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "12043",
            "telephone_number": "518-234-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Mamaroneck Ave",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105431900",
            "country_code": "US",
            "telephone_number": "914-835-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.