Provider Demographics
NPI:1649264474
Name:BEST, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:BEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:STE 137
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-9825
Mailing Address - Fax:212-305-6792
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:STE 137
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195952208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1067904OtherAETNA HMO
388177OtherMVP
070209000061OtherFIDELIS
10079550OtherCAPITAL DISTR
000000102749OtherGHI HMO
2604990OtherGHI PPO
5C5445OtherHEALTHNET
6B0321OtherBCBS
NY01714089Medicaid
5202614OtherAETNA PPO
540061Medicare ID - Type Unspecified
NY01714089Medicaid