Robyn Andersen
Specialist in West Islip, NY. Individual provider (NPI-1).
NPI number1386512903
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1386512903
- Entity type
- Individual (NPI-1)
- Name
- Robyn Andersen
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 26, 2025
- Last updated
- Oct 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
128 Malts AveWest Islip, NY 11795-2510
Phone 631-848-7906
Mailing address
128 Malts AveWest Islip, NY 11795-2510
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 53 Specialist providers in West Islip · All 1,338 providers in West Islip
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