Kathy Lynn Biersack, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

219257 Issued in NY

Practice address

7520 Astoria Blvd
East Elmhurst, NY 11370-1131

Phone

(718) 888-6960

Fax

(718) 565-8387

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558481796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CHARLESTON DR",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117432305",
            "telephone_number": "631-549-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 ASTORIA BLVD",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701131",
            "telephone_number": "718-888-6960",
            "fax_number": "718-565-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERSACK",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence T. Bell Jr., LMHC
• Essence Bellamy, LPN
• Nicole Bellott
• Maria Zaida Beltran, F.N.P.-R.N.B.C.
• Vilma Benavides-Naranjo, RN
• Ahasan Billah
• Marie Joelle Blackman
• Rafaela Peres Boaventura
• Jennifer Alyssa Bonelli, M.S., CCC-SLP
• Rupinder Kaur Brar, M.D

• Internal Medicine Physician in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.