Provider Demographics
NPI:1083782247
Name:RAMPINO, ROBERT DAVID (DPM)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DAVID
Last Name:RAMPINO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PRINCETON DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3216
Mailing Address - Country:US
Mailing Address - Phone:732-431-5881
Mailing Address - Fax:
Practice Address - Street 1:JACOBI HOSPITAL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-6109
Practice Address - Fax:718-918-7701
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002972-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00649096Medicaid
NYP3486100Medicare ID - Type UnspecifiedPODIATRIST
NYT51033Medicare UPIN