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ROBERT DONALD BRANCH JR. PA
NPI 1629293154
Physician Assistant - Surgical in Smithtown, NY

Active since April 17, 2007PECOS Enrolled
290 E MAIN ST STE 700, SMITHTOWN, NY 11787(718) 419-1649(631) 361-5376 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2019, Jun 24, 2016 (2 updates tracked since 2016).

About Robert Donald Branch Jr. Pa NPPES

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

ROBERT DONALD BRANCH JR. PA (NPI 1629293154) is an individual surgical provider in Smithtown, New York, licensed in New York (008256-1) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629293154
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROBERT DONALD BRANCH JR.Credential: PA
Location Address290 E MAIN ST STE 700Smithtown, NY 11787-2916
Mailing Address232 Merrick RdLynbrook, NY 11563-2623 · (718) 419-1649 · Fax (631) 361-5376
Phone(718) 419-1649
Fax(631) 361-5376
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1629293154 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 · 008256-1
290 E MAIN ST STE 700, Smithtown, NY 11787
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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)

Robert Donald Branch Jr. 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 4

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

MRS. ANNE MARIE MCGRATH ANP
Nurse Practitioner (Adult Health)
290 E MAIN ST STE 700
SMITHTOWN, NY 11787
Suffolk County (631) 361-4802
LIVINGSTON PODIATRY, PLLC
Podiatrist (Foot & Ankle Surgery)
290 E MAIN ST STE 700
SMITHTOWN, NY 11787
Suffolk County (516) 308-4500
MS. KATE RYAN CECCHETTO RPA-C
Physician Assistant
290 E MAIN ST STE 700
SMITHTOWN, NY 11787
Suffolk County (631) 361-5302
RICHARD BOCCIO MD PC
Orthopaedic Surgery
290 E MAIN ST STE 700
SMITHTOWN, NY 11787
Suffolk County (631) 265-6991

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 Branch's NPI number?

The NPI number for Robert Branch is 1629293154. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Robert Branch located?

Robert Branch practices at 290 E Main St Ste 700, Smithtown, NY 11787. The listed phone number is (718) 419-1649.

What is Robert Branch's specialty?

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

Is Robert Branch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Branch was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.