Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477637890 Individual Practitioner Male Practitioner

Robert Bruce Nelson , PA

Physician Assistant • Westbury, NY

Professional Overview & Biography Verified Profile Summary

Robert Nelson, PA is a registered healthcare professional specializing in Physician Assistant in Westbury, NY. Practice services are available at 1500 JERICHO TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Jericho Tpke

Westbury, NY 115901045

Telephone 5168772400
Fax 5168771897
Associated Practice Facility / Clinic
🏢 Island Eye Surgicenter Llc Facility NPI 1629152053

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Westbury, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Westbury, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 000777

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01564227 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Brad Litwak , MD

Anesthesiology

NPI 1700982733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location September 17, 2019

Registered at 1500 JERICHO TPKE, WESTBURY, NY 115901045 (Tel: 5168772400)

📍
Updated Business Mailing Address September 17, 2019

Registered at 825 E GATE BLVD STE 111, GARDEN CITY, NY 115302136 (Tel: 5168045200)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 2000 N VILLAGE AVE, SUITE 402, ROCKVILLE CENTRE, NY 115701078 (Tel: 5168772400)

📍
Updated Business Mailing Address March 23, 2017

Registered at 183 BROAD ST, WILLISTON PARK, NY 115961303 (Tel: 5167418470)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as ROBERT NELSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Physician Assistant (License #000777 in NY)

NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2008

Registered at 2000 N VILLAGE AVE, SUITE 402, ROCKVILLE CENTRE, NY 115701078 (Tel: 5168772400)

📍
Updated Business Mailing Address August 12, 2008

Registered at 183 BROAD ST, WILLISTON PARK, NY 115961303 (Tel: 5167418470)

👤
Provider Name / Credentials Updated August 12, 2008

Recorded as ROBERT NELSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Physician Assistant (License #000777 in NY)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477637890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: September 17, 2019
Sole Proprietor: No

Mailing Address

825 E Gate Blvd Ste 111

Garden City, NY 115302136

Phone: 5168045200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.