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

Robert Stanley Wagner

Individual provider Physician Assistant · NPI 1265071419

Robert Stanley Wagner is a Physician Assistant in Washington, District of Columbia. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

3800 Reservoir Rd NW # 2PHC
Washington, DC 20007-2113
Phone: (954) 262-1250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 W 168th St, New York, NY 10032-3725 — (202) 305-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 035762 (NY)

Record details

NPI number1265071419
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2020
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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