Active NPI
Bernard Donald Sklansky, MD
- Plastic and Reconstructive Surgery Physician
- Great Neck, NY
National Provider Identifier
1366514325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 126845
- Practice address
- 833 Northern Blvd
Suite 115
Great Neck, NY 11021-5315 - Phone
- (516) 504-1800
- Fax
- (516) 466-7359
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 126845 | NY | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME94603 | FL |
Addresses
Primary practice location
833 Northern Blvd
Suite 115
Great Neck, NY 11021-5315
Mailing address
833 Northern Blvd
Suite 115
Great Neck, NY 11021-5315
Phone (516) 504-1800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146213 | Other | AETNA | |
| 2616F1 | Other | NY | EMPIRE BC/BS |
| 802795 | Other | AFFORDABLE | |
| AA45736 | Other | MDNY | |
| 38L671 | Other | BLUE CROSS BLUE SHIELD | |
| CIGNA | Other | 0794605009 | |
| AS774 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94603 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sklansky Medical | Past | Accepting new patients | |
| Great Neck Dermatology, P.C. | Past | Accepting new patients | |
| Bodian Medical Services of Forest Hills PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Great Neck, NY
- NPI 1174787253
-
- Specialist
- Forest Hills, NY
- NPI 1043441777
-
- Specialist
- Great Neck, NY
- NPI 1922054980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1366514325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 NORTHERN BLVD",
"address_2": "SUITE 115",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215315",
"telephone_number": "516-504-1800",
"fax_number": "516-466-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 NORTHERN BLVD",
"address_2": "SUITE 115",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215315",
"telephone_number": "516-504-1800",
"fax_number": "516-466-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLANSKY",
"first_name": "BERNARD",
"middle_name": "DONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "126845",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME94603",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2146213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "2616F1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFORDABLE",
"identifier": "802795",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA45736",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38L671",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0794605009",
"identifier": "CIGNA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AS774",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.