Boris Byalik, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

258389 Issued in NY

Practice address

51-15 Beach Channel Drive
Far Rockaway, NY 11691

Phone

(718) 734-2000

Fax

(718) 734-3027

NPI assigned

May 23, 2007

Last updated

Sep 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Geriatric MedicineAlso: Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peninsula Medical Care PLLCGroup PAC ID 5698934446, 8 clinicians

Li Medical Group PLLCGroup PAC ID 7517397045, 3 clinicians

Statmd Physicians PLLCGroup PAC ID 8820035439, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerest Home Health Care of Ny Home health agency, Bronx, NY, CCN 337456

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Li Medical Group PLLC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1144878414
  Medicare reassignment Care Compare group NPD
• Omega Plus Medical P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1669753968
  Medicare reassignment NPD Authorized official
• Statmd Physicians, PLLC

  • Emergency Care Clinic/Center
  • New Hyde Park, NY
  • NPI 1710020417
  Medicare reassignment Care Compare group NPD
• Peninsula Medical Care PLLC

  dba bayview urgent care

  • Urgent Care Clinic/Center
  • Rockaway Park, NY
  • NPI 1851663926
  Medicare reassignment Care Compare group
• Modern Medical PC

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1417057951
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emerest Certified Home Health Care of Ny, LLC

  • Home Health Agency
  • Bronx, NY
  • NPI 1154025237
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1346450897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 CONEY ISLAND AVE",
            "address_2": "#113",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "347-668-6819",
            "fax_number": "347-246-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-15 BEACH CHANNEL DRIVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-734-2000",
            "fax_number": "718-734-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYALIK",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "258389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine B Burgwin
• Deron James-Suubi Burkhead, LMT
• Cymara H. Burns, R.N.
• Adena Burnstein, M.D.
• Perel Ethel Bursky-Tammam, MD
• Christopher Byrne, M.S.
• Mary Byrnes, LCSW
• Mindy Cacciatore
• Julmercivety Cain, LPN
• Anna Calderon, MS.PT

• Adult Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.