MEDICARE: JACLYN ROBERTS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	191880-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922006238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACLYN ROBERTS MD

Provider Business Mailing Address
First Line	:	5014 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3324
Country	:	US
Telephone Number	:	718-283-8965
Fax Number	:	718-635-8977

Provider Business Practice Location Address
First Line	:	5014 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3324
Country	:	US
Telephone Number	:	718-283-8965
Fax Number	:	718-635-8977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/22/2010

Similar Medicare Providers

1508863424 — TRACI BURGESS MD
Practice Location Address:

5014 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-283-7979
Practice Fax: 718-635-8977

1447250980 — MRS. SHOSHANA HABERMAN MD, PHD, FACOG
Practice Location Address:

5014 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-283-8943
Practice Fax: 718-283-6818

1568674919 — DR. NELLI FISHER M.D.
Practice Location Address:

5014 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-283-7979
Practice Fax:

1063957363 — MRS. KATHERINE LOVGREN CONNELLY F.N.P.
Practice Location Address:

5008 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-283-8978
Practice Fax: 718-635-8949

1639711419 — KATHLEEN MARY DALY
Practice Location Address:

5008 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-283-7994
Practice Fax:

1255016267 — SHIRLEY LIANG FNP
Practice Location Address:

5022 FORT HAMILTON PKWY
BROOKLYN, NY
11219-3324

Practice Phone: 718-635-9700
Practice Fax:

Directions to “ JACLYN ROBERTS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.