ROBERTA A BIANCO DOPC (NPI# 1609032887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609032887 |
| Entity Type | Organization |
| Organization Name | ROBERTA A BIANCO DOPC |
| Practice Address |
994 W Jericho Tpke Ste 201 Smithtown NY 11787 |
| Mailing Address |
994 W Jericho Tpke Ste 201 Smithtown NY 11787-3234 |
| Practice Telephone | 6312654200 |
| Mailing Telephone | 6312654200 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | ROBERTA BIANCO (OWNER) |
| Authorized Official Telephone | 6312654200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2171 Jericho Tpke Ste 300, Commack, NY 117252912 | 6316706701 | |
| 515 Route 111, Hauppauge, NY 117884339 | 6312654200 |
| Street Address |
994 W JERICHO TPKE STE 201 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376649657 | Sheldon G Fagen | Internal Medicine | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2006-09-15 |
| 1316405368 | Taylor H Abo-hamzy | Physician Assistant | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2019-03-08 |
| 1841453057 | Farzana Aziz | Internal Medicine | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2008-07-08 |
| 1265559884 | Ruth G. Diaz Md PC | Internal Medicine | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2007-03-26 |
| 1508962705 | Richard B Lewin | Internal Medicine | 994 W Jericho Tpke Ste 201, Smithtown, NY 11787-3234 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497311047 | Optimum Mens Health LLC | Clinic/Center | 1056 W Jericho Tpke, Smithtown, NY 11787-3212 | 2019-05-18 |
| 1639504327 | Virginia Beaton Fnp- Family Health PC | Clinic/Center | 16 Pine Ridge Dr, Smithtown, NY 11787-4024 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERTA A BIANCO DOPC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.