Eric Kane, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Bayport, NY
NPI 1104078401 · NPPES record last updated Oct 17, 2008
Key facts
- NPI
- 1104078401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 096869 (NY)
- Practice address
- 47 Gillette Ave
Bayport, NY 11705-1839 - Phone
- (631) 472-3411
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016000003 | NY | Order and Referring Only - Orthopedic Surgery |
2365663366 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096869 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 096869 | NY | Yes |
Addresses
Primary practice location
47 Gillette Ave
Bayport, NY 11705-1839
Mailing address
47 Gillette Ave
Bayport, NY 11705-1839
Phone (631) 472-3411
Other providers in Bayport, NY
- Fumiyo Iino
- Christine Jensen
- Jonathan Belmonte PT PLLC
- Jacqueline Jones
- Lahari Kalidindi
- Kimberly Hession LCSW PC
- Elizabeth Ann Kirkland
- Catlyn Knauer
- La Orthodontics P.C.
- Jennafer M. Lacy
All providers in Bayport, NY · Orthopaedic Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.