Active NPI
Joseph Anthony Bifano, MD
- Diagnostic Radiology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 192746-1
- Practice address
- HSC Level 4 Room 120
Stony Brook University Hospital -Radiology
Stony Brook, NY 11794-8460 - Phone
- (631) 444-7955
- Fax
- (631) 444-7538
- NPI assigned
- Feb 8, 2006
- Last updated
- Apr 2, 2021
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD072317L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 192746-1 | NY | Primary |
Addresses
Primary practice location
HSC Level 4 Room 120
Stony Brook University Hospital -Radiology
Stony Brook, NY 11794-8460
Mailing address
1 Guthrie Dr
Corning Hospital -Dept of Radiology
Corning, NY 14830-8460
Phone (570) 888-5858
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GU039853 | Other | PA | MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| P00196036 | Other | NY | RR MEDICARE PIN |
| 02370583 | Medicaid | NY | |
| 300138269 | Other | PA | RR MEDICARE PIN |
| 0019362860003 | Medicaid | PA | |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| GU058887 | Other | PA | MEDICARE GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbifano953@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Rochester School of Medicine and Dentistry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
130 Ctr Way
Corning, NY 14830-2255
Phone (607) 936-9971
132 Colonial Dr
Towanda, PA 18848-8107
Phone (570) 265-6165
1336 Cedar St
Elmira, NY 14904-2951
Phone (607) 734-3929
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3500
1780 Hanshaw Rd
Ithaca, NY 14850-9105
Phone (607) 257-5858
2517 Vestal Pkwy E
Vestal, NY 13850-2020
Phone (607) 798-1452
31 Arnot Rd
A
Horseheads, NY 14845-8533
Phone (607) 795-5100
3344 Chambers Rd
Horseheads, NY 14845-1403
Phone (607) 795-5100
4057 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977
4077 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977
720 Willow Ave
Ithaca, NY 14850-3215
Phone (607) 219-4600
One Guthrie SQ
Sayre, PA 18840-1625
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192746-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C, | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Stony Brook Radiology, University Faculty Practice Corporation | Diagnostic Radiology | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
Interoperability endpoints
- jbifano953@direct-guthrie.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Diagnostic Radiology Physician
- Towanda, PA
- NPI 1598892333
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Family Medicine Physician
- Towanda, PA
- NPI 1811946304
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1366497448
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
-
dba Robert Packer Hospital, Towanda Campus
- General Acute Care Hospital
- Towanda, PA
- NPI 1134734528
-
- Critical Access Hospital
- Troy, PA
- NPI 1306847926
-
- Ambulatory Surgical Clinic/Center
- Troy, PA
- NPI 1831250117
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1578536876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE DR",
"address_2": "CORNING HOSPITAL -DEPT OF RADIOLOGY",
"city": "CORNING",
"state": "NY",
"postal_code": "148308460",
"telephone_number": "570-888-5858",
"fax_number": "607-937-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HSC LEVEL 4 ROOM 120",
"address_2": "STONY BROOK UNIVERSITY HOSPITAL -RADIOLOGY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948460",
"telephone_number": "631-444-7955",
"fax_number": "631-444-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIFANO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2021-04-02",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD072317L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "192746-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU039853",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00196036",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02370583",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "300138269",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019362860003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC8362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU058887",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbifano953@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Guthrie Dr",
"address_2": "Corning Hospital - Dept of Radiology",
"city": "Corning",
"state": "NY",
"country_code": "US",
"postal_code": "14830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.