Look up the most recent NPI and PECOS records

Robert Samuel Nuba

Radiology

Allopathic & Osteopathic Physicians

1385 Broadway, Suite A31, Hewlett, NY 11557-1364

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Samuel Nuba does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1356394431
Provider Type
Individual
Full Name
Nuba, Robert Samuel
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/18/2006
Last Updated
5/4/2015

Contact Information

Practice Location

1385 Broadway, Suite A31, Hewlett, NY 11557-1364

(516) 400-9015

Mailing Location

1385 Broadway, A31, Hewlett, NY 11557-1364

(516) 400-9015

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 130068 New York
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 130068 New York

Provider Identifiers

ID	Description	Issuer
ID 49A071	Description Other	Issuer MEDICARE ID New York
ID 00593260	Description Medicaid	Issuer Unlisted New York

Robert Samuel Nuba

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Community Radiology Service, Pc

Nussbaum, Myrna K.

Schulze, Gerald J.

Diament, Matthew A.

Long Island Radiology Associates, Pc

Mccleavey, James R.

Gelber, Howard J.

Singer, Michael B.

Ryoo, Simon