DR. ERIC L ROBERTS (NPI# 1265549265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265549265 |
| Entity Type | Individual |
| Full Name | DR. ERIC L ROBERTS |
| Credential | M.D. |
| Practice Address |
60 N Country Rd Suite 301 Port Jefferson NY 11777-2188 |
| Practice Telephone | 6314744200 |
| Practice Fax Number | 6314744202 |
| Mailing Telephone | 6314744200 |
| Mailing Fax Number | 6314744202 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 190325 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01575424 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962630004 | Eric Justin Roberts | Podiatrist | 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 | 2009-06-28 |
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1255375291 | Eric Deloy Roberts | Physical Therapist | 185 Pevero Dr, Idaho Falls, ID 83401-6318 | 2006-06-16 |
| 1205296613 | Eric D Roberts | Physician Assistant | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2016-02-26 |
| 1740665603 | Eric Roberts | Pharmacist | 111 N Bowman Rd, Little Rock, AR 72211-2783 | 2015-07-21 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1336576677 | Eric N Roberts | Physician Assistant | 101 Chad St, Clover Fork Clinic, Evarts, KY 40828-8200 | 2013-10-01 |
| 1508154758 | Eric Steve Roberts | Pharmacist | 4141 Ne Stephens St, Roseburg, OR 97470-1161 | 2011-07-20 |
| 1912210105 | Eric Wayne Roberts | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Anesthesia Department, Tyler, TX 75701-1908 | 2010-07-16 |
| 1982921748 | Eric Edward Roberts | Surgery | 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 | 2010-05-03 |
| Street Address |
60 N COUNTRY RD SUITE 301 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657755 | Morton L Glaser | Specialist | 60 N Country Rd, Ste 203, Port Jefferson, NY 11777-2188 | 2005-05-31 |
| 1265711071 | Suffolk Critical Care Associates, LLP | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2011-08-10 |
| 1669795563 | Suffolk Pulmonary Associates, LLP | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2010-03-05 |
| 1518186089 | Michelle Levi | Ophthalmology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-24 |
| 1154544567 | Sameh Wahba | Psychiatry & Neurology | 60 N Country Rd, Port Jefferson, NY 11777-2188 | 2007-04-11 |
| 1467589861 | Long Island Pediatric Ophthalmology & Strabismus, P.C. | Ophthalmology | 60 N Country Rd, 301, Port Jefferson, NY 11777-2188 | 2007-02-27 |
| 1386779296 | Sunil K. Dhuper | Internal Medicine | 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 2007-02-22 |
| 1497812564 | Dennis Roy Dubey | Psychologist | 60 N Country Rd, Suite 204, Port Jefferson, NY 11777-2188 | 2007-01-01 |
| 1003923038 | Richard E Koty | Ophthalmology | 60 N Country Rd, Suite 301, Port Jefferson, NY 11777-2188 | 2006-08-24 |
| 1417064569 | Maury A Marmor | Specialist | 60 N Country Rd, Suite 301, Port Jefferson, NY 11777-2188 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891231361 | Gabriella Perinuzzi | Specialist | 108 Birch Drive, Port Jefferson, NY 11777-1902 | 2017-01-09 |
| 1023469814 | Gregg Michael Knel | Specialist | 106 Nadia Ct, Port Jefferson, NY 11777-1432 | 2016-06-23 |
| 1184988974 | Lisa Ann Flanagan | Specialist | 105 Cliff Rd, Port Jefferson, NY 11777-1252 | 2012-06-27 |
| 1235491689 | Jennifer Crimmins | Specialist | 33 Vantage Ct, Port Jefferson, NY 11777-2292 | 2012-06-12 |
| 1063707339 | Pamela Caden | Specialist | 129 South St, Port Jefferson, NY 11777-1864 | 2011-06-15 |
| 1881997724 | Long Island Laparoscopic Surgery,p.l.l.c. | Specialist | 625 Belle Terre Road, Suite 202, Port Jefferson, NY 11777-2316 | 2010-12-15 |
| 1306085808 | Joseph Jehuda Neuschatz | Specialist | 42 Old Homestead Rd, Port Jefferson, NY 11777-1155 | 2009-02-07 |
| 1801891908 | Ajay V. Berdia | Specialist | 640 Belle Terre Road, Building H, Port Jefferson, NY 11777-0001 | 2005-06-15 |
| 1487657755 | Morton L Glaser | Specialist | 60 N Country Rd, Ste 203, Port Jefferson, NY 11777-2188 | 2005-05-31 |
| 1013329333 | Kathleen Lichtenberger | Specialist | 635 Belle Terre Rd, Ste 204, Port Jefferson, NY 11777-1977 | 2014-05-21 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on DR. ERIC L ROBERTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.