Individual provider Active NPI

John Anthony Bianchi, DO

  • Sports Medicine (Family Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1285197871
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
306943 Issued in NY
Practice address
1789 Sheepshead Bay Rd
Brooklyn, NY 11235-2792
Phone
(516) 795-3033
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 306943 NY
Sports Medicine (Family Medicine) Physician 207QS0010X 306943 NY Primary

Addresses

Primary practice location

1789 Sheepshead Bay Rd
Brooklyn, NY 11235-2792

Mailing address

115 Eileen Way
Syosset, NY 11791-5323
Phone (516) 795-3033

Other practice location 1

115 Eileen Way
Syosset, NY 11791-5323
Phone (516) 795-3033

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
I20230413000065 NY Practitioner - Family PracticePractitioner - Sports Medicine 5496120065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2339 Hempstead Tpke
East Meadow, NY 11554-2038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Aug 8, 2023 Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Current Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Aug 8, 2023 Accepting new patients

Locations

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: johnbianchi@ossm.allscriptsdirect.net

Organizations & group practices 4

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1285197871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915323",
            "telephone_number": "516-795-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "516-795-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Eileen Way",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117915323",
            "country_code": "US",
            "telephone_number": "516-795-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "306943",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "306943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.