IndividualActive
Robert Nissan, M.D.
NPI 1669479010 · Family Medicine Physician · Northport, NY
Robert Nissan, M.D. is a Family Medicine Physician provider in Northport, NY (NPI 1669479010).
Provider details
- NPI number
- 1669479010
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 131824 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
325 Main St
Northport, NY 11768-1790
Phone: (631) 261-4445
Fax: (631) 261-3710
Street-level locationGet directions
Mailing address
325 Main St
Northport, NY 11768-1790
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2010-03-24
Frequently asked questions
- What is Robert Nissan's NPI number?
- Robert Nissan's National Provider Identifier (NPI) is 1669479010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Nissan's specialty?
- Robert Nissan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Nissan located?
- Robert Nissan's practice location on file with NPPES is 325 Main St, Northport, NY 11768-1790.
- What is Robert Nissan's phone number?
- The practice phone number listed in the NPPES registry for Robert Nissan is (631) 261-4445.
- Is Robert Nissan's NPI active?
- Yes — Robert Nissan's NPI (1669479010) is active in the NPPES registry as of the last update on 2010-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.