Organization Active NPI

Bhola N. Banik, M.D., PC

  • Cardiovascular Disease Physician
  • Plainview, NY
National Provider Identifier
1104033786
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
119027 Issued in NY
Legal business name
BHOLA N. BANIK, M.D., PC
Practice address
1097 Old Country Rd
Suite 103
Plainview, NY 11803-6505
Phone
(516) 931-3131
Fax
(516) 931-3140
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Bhola N. Banik, MD
Title
Owner
Phone
(516) 931-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 119027 NY Primary

Addresses

Primary practice location

1097 Old Country Rd
Suite 103
Plainview, NY 11803-6505

Mailing address

1097 Old Country Rd
Suite 103
Plainview, NY 11803-6505
Phone (516) 931-3131

Other identifiers 1

IdentifierTypeStateIssuer
00222380MedicaidNY

Other names 1

  • Bhola N. Banik, M.D., PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1104033786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD",
            "address_2": "SUITE 103",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "516-931-3131",
            "fax_number": "516-931-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD",
            "address_2": "SUITE 103",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "516-931-3131",
            "fax_number": "516-931-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHOLA N. BANIK, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BANIK",
        "authorized_official_first_name": "BHOLA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-931-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "119027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00222380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bhola N. Banik, M.D., PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.