Active NPI
Roberto R Cabral
- Family Medicine Physician
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 286391
- Practice address
- 9 Village GRN Unit a
Patchogue, NY 11772-3080 - Phone
- (631) 227-6665
- Fax
- (631) 289-1046
- NPI assigned
- Apr 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 286391 | NY | Primary |
Addresses
Primary practice location
9 Village GRN Unit a
Patchogue, NY 11772-3080
Mailing address
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 674-7631
Other practice location 1
101 St. Andrews La
Glen Cove, NY 11542-1154
Phone (516) 674-7631
Other practice location 2
100 Hospital Rd
East Patchogue, NY 11772-8809
Phone (631) 228-5801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rcabral508655@nyumc.direct-ci.com |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
- Catholic Home Care
- Centerwell Home Health
- Tender Loving Care, an Amedisys Company
- Long Island Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286391 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
100 Hospital Rd
East Patchogue, NY 11772
Phone (631) 475-6900
9 Village Grn
Unit A
Patchogue, NY 11772
Phone (631) 227-6665
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hauppauge, NY
- NPI 1376575977
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- Home Health Agency
- Medford, NY
- NPI 1699715961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1982166989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7631",
"fax_number": "516-674-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 VILLAGE GRN UNIT A",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723080",
"telephone_number": "631-227-6665",
"fax_number": "631-289-1046"
}
],
"practiceLocations": [
{
"address_1": "101 St. Andrews La",
"address_purpose": "LOCATION",
"city": "Glen Cove",
"state": "NY",
"postal_code": "115421154",
"country_code": "US",
"telephone_number": "516-674-7631",
"fax_number": "516-674-7639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hospital Rd",
"address_purpose": "LOCATION",
"city": "East Patchogue",
"state": "NY",
"postal_code": "117728809",
"country_code": "US",
"telephone_number": "631-228-5801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABRAL",
"first_name": "ROBERTO",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "286391",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rcabral508655@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "100 Hospital Rd",
"city": "East Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117728809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.