NPIMap

Individual provider Active NPI

Roberta Bianco

  • Family Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1356435846
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202825 Issued in NY
Practice address
515 Route 111
Hauppauge, NY 11788-4339
Phone
(631) 265-4200
Fax
(631) 265-4290
NPI assigned
Oct 2, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 202825 NY Primary

Addresses

Primary practice location

515 Route 111
Hauppauge, NY 11788-4339

Mailing address

515 Route 111
Hauppauge, NY 11788-4339
Phone (631) 265-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415001355 NY Practitioner - Family Practice 8123012028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Barry University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1061 N Broadway
Suite 2
North Massapequa, NY 11758-1853
Phone (631) 751-3000

365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202825NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Jan 1, 2025 Accepting new patients
Vytaliz Medical CurrentSince Jan 1, 2021 Accepting new patients
Roberta a Bianco Dopc CurrentSince Jan 13, 2003 Accepting new patients

Locations

515 Route 111
Hauppauge, NY 11788
Phone (631) 265-4200

515 Route 111
Ste 301
Hauppauge, NY 11788
Phone (631) 265-4200

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

267 E Main St
Bldg A
Smithtown, NY 11787
Phone (631) 724-2000

323 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 265-1223

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

994 W Jericho Tpke
Ste 201
Smithtown, NY 11787
Phone (631) 265-4200

Networks

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

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1356435846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-265-4200",
            "fax_number": "631-265-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884339",
            "telephone_number": "631-265-4200",
            "fax_number": "631-265-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "ROBERTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.