MEDICARE: ROBERT JOHN HUGHES 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	207Y00000X	Otolaryngology Physician	1618791	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10015751	OTHER	CDHP
3	141724932002	OTHER	TRICARE
4	RH037F8010	OTHER	EBS
5	04114	OTHER	MVP

General Provider Information

NPI Number	:	1407842248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOHN HUGHES MD

Provider Business Mailing Address
First Line	:	123 EVERETT RD
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12205-1407
Country	:	US
Telephone Number	:	518-701-2000
Fax Number	:	518-701-2139

Provider Business Practice Location Address
First Line	:	400 PATROON CREEK BLVD STE 205
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-5012
Country	:	US
Telephone Number	:	518-701-2000
Fax Number	:	518-701-2139

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	10/07/2019

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