Individual provider Active NPI

Bianca Redhead, M.D.

  • Surgery Physician
  • Oceanside, NY
National Provider Identifier
1093032302
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
268343 Issued in NY
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

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929000982 NY Practitioner - General Surgery 2264707314 Reassigns benefits to 5 organizations

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
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians

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 Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268343NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 18, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2017 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Surgery CurrentSince Jun 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery Current Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Oct 18, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 20, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 10, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 10, 2023 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
Montefiore Medical Center Surgery CurrentSince Aug 16, 2017 Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 20, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
5 Pillars Billing, LLC Surgery PastSince Sep 1, 2018 Accepting new patients

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

  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.