1932183639 NPI number — ROBIN HIMMELSTEIN MD

Table of content: ROBIN HIMMELSTEIN MD (NPI 1932183639)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932183639 NPI number — ROBIN HIMMELSTEIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIMMELSTEIN
Provider First Name:
ROBIN
Provider Middle Name:
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:
1932183639
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
165 N VILLAGE AVE
Provider Second Line Business Mailing Address:
STE 114
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570-3701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-536-1331
Provider Business Mailing Address Fax Number:
516-536-8850

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
165 N VILLAGE AVE
Provider Second Line Business Practice Location Address:
STE 114
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-3701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-536-1331
Provider Business Practice Location Address Fax Number:
516-536-8850
Provider Enumeration Date:
12/06/2005

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: 207N00000X , with the licence number:  147690 , 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: 00766445 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: AS1490 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112644803 . This is a "JJ NEWMAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112644803 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 221820 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 87A871 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27379 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: AB45705 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112644803 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 070015294 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0079785 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2C9589 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8098924 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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