Michael B Sklar, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F340057-1 Issued in NY

Practice address

79 Middleville Rd
Primary Care
Northport, NY 11768-2200

Phone

(631) 261-4400

Fax

(631) 266-6051

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093829699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BALTIMORE AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584122",
            "telephone_number": "516-541-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "PRIMARY CARE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400",
            "fax_number": "631-266-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340057-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ellen Sienkiewicz
• Erika Lee Silverstein
• Lakhvir Singh, M.D.
• Mandeep Singh, M.D
• Amalia Rose Sirica, LCSW
• Cheyenne Slack, LPN
• Richard David Sloan, MS, P.DIPL., CRC
• Carol Smith, NP
• Kimberly Ann Smith, PHARM.D.
• Ralph Kurt Smith, MS ED. CRC

• Gerontology Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.