MR. ROBERT PAUL EDGAR LPN
NPI 1235338799
Licensed Practical Nurse in Black River, NY

Active since July 15, 2007
30204 STATE ROUTE 3, BLACK RIVER, NY 13612(315) 773-9012 Get Directions Write a Review

NPPES record last updated: July 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert Paul Edgar Lpn NPPES

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

MR. ROBERT PAUL EDGAR LPN (NPI 1235338799) is an individual licensed practical nurse in Black River, New York, licensed in New York (226744-1) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1235338799
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. ROBERT PAUL EDGARCredential: LPN
Location Address30204 STATE ROUTE 3Black River, NY 13612-2091
Mailing Address817 Franklin StWatertown, NY 13601-3411 · (315) 782-8876
Sole ProprietorYes
Enumeration DateJuly 15, 2007
NPI 1235338799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 226744-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
30204 STATE ROUTE 3, Black River, NY 13612

Other Identifiers 1

Medicaid02457972NY

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 Edgar's NPI number?

The NPI number for Robert Edgar is 1235338799. It was assigned to this individual provider in the NPPES registry on July 15, 2007.

Where is Robert Edgar located?

Robert Edgar practices at 30204 State Route 3, Black River, NY 13612. The listed phone number is (315) 773-9012.

What is Robert Edgar's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Robert Edgar was last updated on July 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.