MEDICARE: DR. TODD JUSTIN ROBINSON D.O.

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	204F00000X	Transplant Surgery Physician	14191864-1204	UT
2	208600000X	Surgery Physician	14191864-1204	UT

General Provider Information

NPI Number	:	1033573159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD JUSTIN ROBINSON D.O.

Provider Business Mailing Address
First Line	:	525 E 68TH ST # 98
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-4870
Country	:	US
Telephone Number	:	212-746-3099
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 S COTTONWOOD ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-5704
Country	:	US
Telephone Number	:	801-507-9600
Fax Number	:

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	04/08/2025

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