ROBERT L BRUCKSTEIN MD PC
NPI 1194002733
Dermatology in Lawrence, NY

Active since November 10, 2011
290 CENTRAL AVE, SUITE 206, LAWRENCE, NY 11559(516) 239-2332 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert L Bruckstein Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT L BRUCKSTEIN MD PC (NPI 1194002733) is a healthcare organization registered as a dermatology in Lawrence, New York and active in the NPI registry since November 2011. The organization lists Robert L Bruckstein, President, as its authorized official.

NPPES Registry Identity

NPI1194002733
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROBERT L BRUCKSTEIN MD PC
Location Address290 CENTRAL AVE, SUITE 206Lawrence, NY 11559-8507
Mailing Address290 Central Ave, Suite 206Lawrence, NY 11559-8507 · (516) 239-2332
Organization SubpartNo
Authorized OfficialRobert L BrucksteinPresident · (516) 239-2332
Enumeration DateNovember 10, 2011
✔ NPI 1194002733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 117212-1
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
290 CENTRAL AVE, Lawrence, NY 11559

Other Identifiers 2

Medicare UPINB19041
Medicaid00216904NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert L Bruckstein Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert L Bruckstein MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1386644375
290 CENTRAL AVE SUITE 206
Lawrence, NY 11559
(516) 239-2332
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert L Bruckstein MD PC's NPI number?

The NPI number for Robert L Bruckstein MD PC is 1194002733. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Robert L Bruckstein MD PC located?

Robert L Bruckstein MD PC is located at 290 Central Ave Suite 206, Lawrence, NY 11559. The listed phone number is (516) 239-2332.

What is Robert L Bruckstein MD PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Robert L Bruckstein MD PC enrolled in Medicare?

Yes. Robert L Bruckstein MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert L Bruckstein MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Robert L Bruckstein MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert L Bruckstein MD PC was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.