Corey Bickoff MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

205730 Issued in NY

Legal business name

COREY BICKOFF MD PC

Practice address

294 W Merrick Rd
Suite 5
Freeport, NY 11520-3374

Phone

(516) 223-3337

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Corey Ian Bickoff, MDNPI 1053325563

Title

Owner

Phone

(516) 223-3337

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: cbickoff@coreybickoff.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Ian Bickoff, M.D.

  • Ophthalmology Physician
  • Freeport, NY
  • NPI 1053325563
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1275873648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "SUITE 5",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-223-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD",
            "address_2": "SUITE 5",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203374",
            "telephone_number": "516-223-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY BICKOFF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "BICKOFF",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-223-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "205730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "388B81",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Circle MFT
• Communication Horizon, LLC
• Clayton Conanan
• Megan M Conti, LCSW-R, DSW
• Martin R Copeland, OD
• Cosmetic & Laser Dental Studio
• Courtyard at MCC
• Marcus Joshua Crafton
• Reginale Craig, RN
• Kristin Crane, DPT

• Ophthalmology Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.