Individual provider Active NPI

Franklin Nicholas Laviola, MD

  • Psychiatry Physician
  • Islip, NY
National Provider Identifier
1447308879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
106230 Issued in NY
Practice address
499 Islip Ave
Islip, NY 11751-1826
Phone
(631) 581-8152
Fax
(631) 277-8660
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 106230 NY Primary

Addresses

Primary practice location

499 Islip Ave
Islip, NY 11751-1826

Mailing address

499 Islip Ave
Islip, NY 11751-1826
Phone (631) 581-8152

Other identifiers 1

IdentifierTypeStateIssuer
00186374MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110106000732 NY Practitioner - Psychiatry 8527257559 Practice locations: Islip, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

499 Islip Ave
Islip, NY 11751-1809
Phone (631) 581-8152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106230NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447308879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117511826",
            "telephone_number": "631-581-8152",
            "fax_number": "631-277-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ISLIP AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117511826",
            "telephone_number": "631-581-8152",
            "fax_number": "631-277-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIOLA",
        "first_name": "FRANKLIN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "106230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00186374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

Verify at the official NPI Registry.