Organization Active NPI

Robert I Rattiner MD PLLC

  • Cardiovascular Disease Physician
  • Williston Park, NY
National Provider Identifier
1962719310
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
Legal business name
ROBERT I RATTINER MD PLLC
Practice address
99 Hillside Avenue
Suite T
Williston Park, NY 11596
Phone
(516) 498-1965
Fax
(516) 504-0235
NPI assigned
Sep 7, 2010
Organization subpart
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

Authorized official

Name
Robert I Rattiner, M.D.NPI 1881738375
Title
President & Ceo
Phone
(516) 498-1965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110629000132 NY Part B Supplier - Clinic/Group Practice 6406034123 Receives reassigned benefits from 1 practitioner
Practice locations: Williston Park, NY

National Provider Directory

National Provider Directory

Locations

99 Hillside Ave
Williston Pk, NY 11596
Phone (347) 874-8616

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1962719310",
    "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": {
        "organization_name": "ROBERT I RATTINER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "RATTINER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "516-498-1965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.