Provider Demographics
NPI:1841208089
Name:AYMAT, ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:AYMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W 34TH ST
Mailing Address - Street 2:APT 4A7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:201-401-9297
Mailing Address - Fax:
Practice Address - Street 1:305 2ND AVE
Practice Address - Street 2:STE 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-375-0323
Practice Address - Fax:212-375-0327
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2017291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01859118Medicaid
N58709OtherPHYSICIAN HEALTH SERVICES
134122170OtherHEALTHNET
134122170OtherMULITPLAN
134122170OtherPHYSICIAN HEALTH CARE SYS
501632OtherEMPIRE BLUECROSS BLUE SHI
54617778OtherCIGNA
5600192OtherGHI
087463OtherAETNA HMO
134122170OtherHORIZON
201729OtherHIP
P1227794OtherOXFORD
134122170OtherLOCAL 1199
01859118OtherADAP
5340617OtherAETNA PPO
01859118OtherUNITED HEALTHCARE
134122170OtherMAGNACARE
134122170OtherGUARDIAN
134122170OtherPHYSICIAN HEALTH CARE SYS
201729OtherHIP