Active NPI
Bianca Redhead, M.D.
- Surgery Physician
- Oceanside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 268343
- Practice address
- 1 Healthy Way
Oceanside, NY 11572-1551 - Phone
- (516) 632-3000
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 268343 | NY | Primary |
Addresses
Primary practice location
1 Healthy Way
Oceanside, NY 11572-1551
Mailing address
4441 Purves St Apt 2601
Long Island City, NY 11101-2994
Phone (202) 415-8724
Other practice location 1
601 Elmwood Ave
Box SURG
Rochester, NY 14642-0001
Phone (585) 275-2723
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500
1 S Central Ave
Valley Stream, NY 11580-5443
Phone (516) 632-3350
Hospital & facility affiliations
- Mount Sinai South Nassau
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268343 | NY | MD | Surgery Physician |
Practice roles
Locations
111 E 210th St
Bronx, NY 10467
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- bredhead1354172@nychhc.direct-ci.com
Organizations & group practices 15
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.
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- Internal Medicine Physician
- Oceanside, NY
- NPI 1508127531
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
- Critical Care Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1215488127
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Psychiatry Physician
- Hempstead, NY
- NPI 1508333956
-
- Cardiovascular Disease Physician
- Valley Stream, NY
- NPI 1942777347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1093032302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 PURVES ST APT 2601",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012994",
"telephone_number": "202-415-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY WAY",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115721551",
"telephone_number": "516-632-3000"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_2": "Box SURG",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-2723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDHEAD",
"first_name": "BIANCA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "268343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.