Individual provider Active NPI

Bernard Donald Sklansky, MD

  • Plastic and Reconstructive Surgery Physician
  • Great Neck, NY
National Provider Identifier
1366514325
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
126845 Issued in NY
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

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2146213OtherAETNA
2616F1OtherNYEMPIRE BC/BS
802795OtherAFFORDABLE
AA45736OtherMDNY
38L671OtherBLUE CROSS BLUE SHIELD
CIGNAOther0794605009
AS774OtherOXFORD

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94603FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sklansky Medical Past Accepting new patients
Great Neck Dermatology, P.C. PastSince Nov 1, 1997 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.

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.

Verify at the official NPI Registry.