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MR. ROBERT WILLIAM WORMUTH I PA
NPI 1265618110
Physician Assistant - Surgical in Brooklyn, NY

Active since January 10, 2008PECOS Enrolled
927 49TH ST, BROOKLYN, NY 11219(718) 283-7400(718) 283-6199 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert William Wormuth I Pa NPPES

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

MR. ROBERT WILLIAM WORMUTH I PA (NPI 1265618110) is an individual surgical provider in Brooklyn, New York, licensed in New York (004713-1) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265618110
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ROBERT WILLIAM WORMUTH ICredential: PA
Location Address927 49TH STBrooklyn, NY 11219-2923
Mailing Address927 49th StBrooklyn, NY 11219-2923 · (718) 283-7400 · Fax (718) 283-6199
Phone(718) 283-7400
Fax(718) 283-6199
Sole ProprietorNo
Enumeration DateJanuary 10, 2008
✔ NPI 1265618110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 004713-1
927 49TH ST, Brooklyn, NY 11219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert William Wormuth I Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DAYNA VICTORIA WEISMAN P.A.
Physician Assistant (Surgical)
927 49TH ST
BROOKLYN, NY 11219
Kings County (917) 881-1911
DR. HOWARD J. GOODMAN MD
Orthopaedic Surgery
927 49TH ST
BROOKLYN, NY 11219
Kings County (718) 283-7450

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 Wormuth's NPI number?

The NPI number for Robert Wormuth is 1265618110. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Robert Wormuth located?

Robert Wormuth practices at 927 49th St, Brooklyn, NY 11219. The listed phone number is (718) 283-7400.

What is Robert Wormuth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Robert Wormuth enrolled in Medicare?

Yes. Robert Wormuth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wormuth was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.