Individual provider Active NPI

Martha Delgadillo Pilchman, M.D.

  • Family Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1104923002
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
154767 Issued in NY
Practice address
85 W Main St
St 101
Bay Shore, NY 11706-8345
Phone
(631) 666-1400
Fax
(631) 666-5781
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 154767 NY Primary

Addresses

Primary practice location

85 W Main St
St 101
Bay Shore, NY 11706-8345

Mailing address

85 W Main St
St 101
Bay Shore, NY 11706-8345
Phone (631) 666-1400

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
I20100713000096 NY Practitioner - Family Practice 9739211657 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jun 3, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Hispanic Counseling Center, Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

85 W Main St
Ste 101
Bay Shore, NY 11706
Phone (631) 301-4868

24 E Main St
Bay Shore, NY 11706
Phone (613) 666-6752

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Interoperability endpoints

  • Direct secure messaging: dr.pilchman@mdpmp-ny.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1104923002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "address_2": "ST 101",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068345",
            "telephone_number": "631-666-1400",
            "fax_number": "631-666-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "address_2": "ST 101",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068345",
            "telephone_number": "631-666-1400",
            "fax_number": "631-666-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHMAN",
        "first_name": "MARTHA",
        "middle_name": "DELGADILLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.