Eric Bart London, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

141255-1 Issued in NY

Practice address

328 Woodstone Trail
White Lake, NY 12786

Phone

(609) 921-0332

Fax

(718) 494-3650

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

New York Medical College, 1978

Medicare assignment

May accept Medicare assignment

Group practices

The Center for Discovery IncGroup PAC ID 1557250933, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Center for Discovery Inc

  • Rural Health Clinic/Center
  • Monticello, NY
  • NPI 1275624694
  Medicare reassignment Care Compare group NPD
• The Center for Discovery Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Rock Hill, NY
  • NPI 1669202610
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1144237835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 913",
            "city": "SMALLWOOD",
            "state": "NY",
            "postal_code": "12778",
            "telephone_number": "609-921-0332",
            "fax_number": "718-494-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WOODSTONE TRAIL",
            "city": "WHITE LAKE",
            "state": "NY",
            "postal_code": "12786",
            "telephone_number": "609-921-0332",
            "fax_number": "718-494-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "ERIC",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "47430",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "141255-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NO.",
            "identifier": "441219B1L",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethel Volunteer Ambulance Corp Inc
• Rachel Michelle Cirino, LMSW
• Laurie A Devine, CCC-SLP
• Colleen Mary Dobbs, R.N.
• Dawn Houghtaling-Bryda
• Ninette Sanchez-Echi, MFT
• Inessa Shlifer, PA
• Tasha Watch, LPN

• Psychiatry Physician in White Lake, NY
• Providers in White Lake, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.