Thomas Biancaniello, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

127267 Issued in NY

Practice address

57 Southern Blvd
Suite 3
Nesconset, NY 11767-1091

Phone

(631) 265-3300

Fax

(631) 265-3303

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1407899388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-265-3300",
            "fax_number": "631-265-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671091",
            "telephone_number": "631-265-3300",
            "fax_number": "631-265-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCANIELLO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "127267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4313729",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00524474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE EMPIRE PLAN NETWORK",
            "identifier": "133908648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary M. Bauman, MA,CCC
• Marc Elliot Bennet, D.M.D.
• Kerry M Benson, OTR/L
• Patricia Agnes Benz, PT
• Lindsay Berman
• Kathleen Biase, RN
• Stephanie Biren, MS, LCAT
• Lisa Bloechle, M.A.,CCC-SLP
• Linda M Bocchichio, DC
• Michelle Cine Bordes

• All providers in Nesconset, NY
• Pediatric Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.