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DR. ROBERT IRA HALLE D.M.D.
NPI 1902029366
Dentist - General Practice in Brentwood, NY

Active since April 11, 2007Opted out of Medicare · through Dec 29, 2027
652 SUFFOLK AVE, SUITE #102, BRENTWOOD, NY 11717(631) 673-8060(631) 273-5255 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Ira Halle D.m.d. NPPES

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

DR. ROBERT IRA HALLE D.M.D. (NPI 1902029366) is an individual general practice provider in Brentwood, New York, licensed in New York (041683) and active in the NPI registry since April 2007. He has opted out of Medicare through December 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902029366
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT IRA HALLECredential: D.M.D.
Location Address652 SUFFOLK AVE, SUITE #102Brentwood, NY 11717
Mailing Address652 Suffolk Ave, Suite #102Brentwood, NY 11717 · (631) 673-8060 · Fax (631) 273-5255
Phone(631) 673-8060
Fax(631) 273-5255
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 12, 2010
✔ NPI 1902029366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 041683
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
652 SUFFOLK AVE, Brentwood, NY 11717
Open in Google Maps ↗

Other Identifiers 1

Other38006CA · California Dental License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Robert Ira Halle D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2015 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2015
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. MASOOD H SYED D.D.S.
Dentist (General Practice)
652 SUFFOLK AVE, SUITE 108
BRENTWOOD, NY 11717
Suffolk County (361) 273-5888
DR. RICHARD ROY TESSER DMD
Dentist (General Practice)
652 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 273-3236
ROPEN HEALTH CARE SERVICES INC
Home Health
652 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 435-3682
DR. ROBERT LAWRENCE DICTROW DDS
Dentist (Endodontics)
652 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 273-0988
BRENTWOOD & BAY SHORE DENTAL ASSOC. LLP
Dentist (General Practice)
652 SUFFOLK AVE, STE 110
BRENTWOOD, NY 11717
Suffolk County (631) 231-9314
DR. BRUCE HOWARD PLATNIK MD
Pediatrics
652 SUFFOLK AVE, SUITE 104
BRENTWOOD, NY 11717
Suffolk County (631) 273-2403
MASOOD SYED FAMILY DENTISTRY P.C.
Dentist (General Practice)
652 SUFFOLK AVE
BRENTWOOD, NY 11717
Suffolk County (631) 273-5888
DR. RAUL R TRINCHET M.D.
Internal Medicine
652 SUFFOLK AVE, SUITE 214
BRENTWOOD, NY 11717
Suffolk County (631) 617-6825

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 Halle's NPI number?

The NPI number for Robert Halle is 1902029366. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Robert Halle located?

Robert Halle practices at 652 Suffolk Ave Suite #102, Brentwood, NY 11717. The listed phone number is (631) 673-8060.

What is Robert Halle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Robert Halle enrolled in Medicare?

No. Robert Halle has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Halle was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.