Individual provider Active NPI

Betty V Parisis, M.D.

  • Family Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1023186210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180594-1 Issued in NY
Practice address
275 Broadway
Lynbrook, NY 11563-3243
Phone
(516) 599-0012
Fax
(516) 599-1445
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 180594-1 NY Primary

Addresses

Primary practice location

275 Broadway
Lynbrook, NY 11563-3243

Mailing address

275 Broadway
Lynbrook, NY 11563-3243
Phone (516) 599-0012

Other identifiers 6

IdentifierTypeStateIssuer
9786950OtherNYGHI
AA73576OtherNYMDNY HEALTHCARE
CIGNAOtherNY9401343
1950691OtherNYUNITED HEALTH CARE
P3650661OtherNYOXFORD
3489POtherNYEMPIRE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000477 NY Practitioner - Family Practice 2264455682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 Broadway
Lynbrook, NY 11563-3243
Phone (516) 599-0012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
180594-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Parisis DO LLC Family Medicine CurrentSince Nov 24, 2013 Accepting new patients

Locations

275 Broadway
Lynbrook, NY 11563
Phone (516) 599-0012

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023186210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-599-0012",
            "fax_number": "516-599-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633243",
            "telephone_number": "516-599-0012",
            "fax_number": "516-599-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISIS",
        "first_name": "BETTY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "180594-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9786950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY HEALTHCARE",
            "identifier": "AA73576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9401343",
            "identifier": "CIGNA",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1950691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3650661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "3489P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.