Tiffany Marie Robinson

Individual provider Active NPI Case Manager/Care Coordinator · Fresh Meadows, NY

NPI 1992575310 · NPPES record last updated Jan 5, 2024

Key facts

NPI
1992575310
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
6545 Fresh Meadow LN
Fresh Meadows, NY 11365-2011
Phone
(718) 267-5441
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

6545 Fresh Meadow LN
Fresh Meadows, NY 11365-2011

Mailing address

6545 Fresh Meadow LN
Fresh Meadows, NY 11365-2011
Phone (718) 267-5441

Other practice location 1

6545 Fresh Meadow Ln
Fresh Meadows, NY 11365-2011
Phone (718) 267-5441

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2024.

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1992575310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652011",
            "telephone_number": "718-267-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652011",
            "telephone_number": "718-267-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 Fresh Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113652011",
            "country_code": "US",
            "telephone_number": "718-267-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

All providers in Fresh Meadows, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.