DR. ROBERT BOBROW (NPI# 1548204613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548204613 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BOBROW |
| Credential | M.D. |
| Practice Address |
450 Waverly Ave Patchogue NY 11772-1555 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314446300 |
| Mailing Telephone | 6314446300 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 109079 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 4373158 | 01 |
| NY | EMPIRE BC.BS | 9X4113 | 01 |
| NY | 01011123 | 05 |
| Street Address |
450 WAVERLY AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1831720945 | Faroqui Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1477184679 | Singh's Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2, Suite 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578194783 | Stambler Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1437596434 | Patchogue Diagnostic Radiology,pc | Specialist | 450 Waverly Ave, Building 2, Patchogue, NY 11772-1555 | 2013-05-30 |
| 1831459684 | Parkway Imaging & Diagnostic PC | Radiology | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2012-05-25 |
| 1013202944 | Laura Anne Van Schaick-harman | Psychologist | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772-1555 | 2011-06-20 |
| 1790084275 | Jenna Ann Mastromarino | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1457761959 | Sarah Aisling Cheek | Family Medicine | 31 Oak St Ste 3, Patchogue, NY 11772-2841 | 2014-05-06 |
| 1477815843 | Giovanny Fernando Gil Sares | Family Medicine | 87 S Ocean Ave, Patchogue, NY 11772-3702 | 2012-06-12 |
| 1932388873 | Main Street Primary Medicine | Family Medicine | 475 E Main St Ste 103, Patchogue, NY 11772-3121 | 2007-10-28 |
| 1194915686 | Brasil and Shinin Physicians PC | Family Medicine | 33 Medford Avenue, Suite E, Patchogue, NY 11772-1225 | 2007-07-31 |
| 1437206943 | Cherese M Laporta | Family Medicine | 107 N Ocean Ave, Suite G, Patchogue, NY 11772-2012 | 2007-01-05 |
| 1487727996 | Jitendra A Shah | Family Medicine | 504 Medford Ave, Patchogue, NY 11772-1321 | 2006-11-15 |
| 1063596823 | Christine Marie Doucet | Family Medicine | 130 Medford Ave, Patchogue, NY 11772-1206 | 2006-10-25 |
| 1922195379 | Ronald S Klein | Family Medicine | 485 N Ocean Avenue, Suite A, Patchogue, NY 11772-1762 | 2006-10-06 |
| 1558392373 | Kurt Dundas Schlichting | Family Medicine | 144 N Ocean Ave, Patchogue, NY 11772-2004 | 2006-07-06 |
| Find all providers in PATCHOGUE | ||||
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| 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.