Robert Nissan, M.D

ActiveIndividual ProviderFamily Medicine
NPI issued: June 30, 2005

Quick Facts

NPI Number
1669479010
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(631) 261-4445
StateNY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1669479010)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 30, 2005)
Data source: CMS NPPES

Provider Overview

ROBERT NISSAN, M.D is a Family Medicine provider based in Northport, NY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1669479010
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJune 30, 2005

Practice Location

CityNorthport
StateNY
ZIP Code11768-1790
Phone(631) 261-4445

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateNY

Mailing Address

CityNorthport
StateNY
ZIP Code11768-1790
Phone(631) 261-4445
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1669479010 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1669479010for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1669479010 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is Robert Nissan's NPI number?
Robert Nissan's NPI number is 1669479010, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Robert Nissan's NPI currently active?
Yes, Robert Nissan's NPI status is Active as of the latest CMS NPPES database updates.
What does Robert Nissan specialize in?
Robert Nissan specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Robert Nissan practice?
Robert Nissan practices in Northport, NY 11768-1790.
When was Robert Nissan's NPI issued?
Robert Nissan's NPI was issued on June 30, 2005.
What is Robert Nissan's provider type?
Robert Nissan is registered as an Individual Provider under CMS NPI Type 1.