Individual provider Active NPI

Joseph Anthony Bifano, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1578536876
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
192746-1 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GU039853OtherPAMEDICARE GROUP
CC9269OtherPARR MEDICARE GROUP
P00196036OtherNYRR MEDICARE PIN
02370583MedicaidNY
300138269OtherPARR MEDICARE PIN
0019362860003MedicaidPA
CC8362OtherNYRR MEDICARE GROUP
GU058887OtherPAMEDICARE GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbifano953@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040120000400 NY Practitioner - Diagnostic Radiology 4385545557 Reassigns benefits to 1 organization
I20110128000407 PA Practitioner - Diagnostic Radiology 4385545557 Reassigns benefits to 1 organization

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 PCGroup PAC ID 6002728656, shared by 5 NPIs, 795 clinicians

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

LicenseStateTypeSpecialty
192746-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C, Diagnostic Radiology CurrentSince Mar 3, 2003 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 11, 2003 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. CurrentSince Mar 3, 2003 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.