1558471334 NPI number — ROBIN E THOMPSON MD

Table of content: ROBIN E THOMPSON MD (NPI 1558471334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558471334 NPI number — ROBIN E THOMPSON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMPSON
Provider First Name:
ROBIN
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558471334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 WEST CARVER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-421-0020
Provider Business Mailing Address Fax Number:
631-421-4738

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 WEST CARVER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-421-0020
Provider Business Practice Location Address Fax Number:
631-421-4738
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  184010-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CIM . This is a "WCB RATING CODE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1336805 . This is a "UNITED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16978 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: TR4010 . This is a "ATLANTIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110052712 . This is a "RRMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112234962 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 184010 . This is a "MEDICAL LICENSE NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4231328 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080 . This is a "NEW YORK MEDICAID SPECIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: OC8781 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01305499 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0C8781 . This is a "CARECORE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1840107 . This is a "WC/NF" identifier . This identifiers is of the category "OTHER".
  • Identifier: CP677 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 184010 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: RT004G9910 . This is a "BLUE CROSS AND BLUE SHIEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: RT004G9910 . This is a "MEDICARE ID" identifier . This identifiers is of the category "OTHER".




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