Active NPI
Robin Faulk, NURSE PRACTITIONER
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1992027643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00491000
- Practice address
- 2576 Broadway
#510
New York, NY 10025-5654 - Phone
- (646) 827-9568
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 338301 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00491000 | NJ | Primary |
Addresses
Primary practice location
2576 Broadway
#510
New York, NY 10025-5654
Mailing address
PO Box 5756
Albany, NY 12205-0756
Phone (646) 827-9568
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1992027643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5756",
"city": "ALBANY",
"state": "NY",
"postal_code": "122050756",
"telephone_number": "646-827-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2576 BROADWAY",
"address_2": "#510",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255654",
"telephone_number": "646-827-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "ROBIN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "338301",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00491000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.