Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Robert William Wormuth I, PA

Individual provider Surgical Physician Assistant · NPI 1265618110

Mr. Robert William Wormuth I, PA is a Surgical Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

927 49th St
Brooklyn, NY 11219-2923
Phone: (718) 283-7400
Fax: (718) 283-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004713-1 (NY)

Record details

NPI number1265618110
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 10, 2008
Last updated in NPPESJanuary 10, 2008

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