Basic Information
Provider Information
NPI: 1730188012
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELMAN
FirstName: ROBERT
MiddleName: SCOTT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1345 RXR PLZ FL 13
Address2:  
City: UNIONDALE
State: NY
PostalCode: 115561301
CountryCode: US
TelephoneNumber: 5164530435
FaxNumber: 6468463283
Practice Location
Address1: 795 MANHATTAN AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112222710
CountryCode: US
TelephoneNumber: 7184893549
FaxNumber: 7184893550
Other Information
ProviderEnumerationDate: 07/19/2005
LastUpdateDate: 11/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X25MA07650300NJN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X217834NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
002985805NJ MEDICAID
0209862605NY MEDICAID


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