Roberta a Bianco Dopc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ROBERTA A BIANCO DOPC

Practice address

994 W Jericho Tpke Ste 201
Smithtown, NY 11787

Phone

(631) 265-4200

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Roberta BiancoNPI 1356435846

Title

Owner

Phone

(631) 265-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberta Bianco

  • Family Medicine Physician
  • Hauppauge, NY
  • NPI 1356435846
  Medicare reassignment NPD Authorized official
• Tammy Bloom, FNP

  • Family Nurse Practitioner
  • Bayside, NY
  • NPI 1740672229
  Medicare reassignment NPD
• Sharon Marie Dougherty, RN, LCSW-R

  • Clinical Social Worker
  • Shirley, NY
  • NPI 1346676707
  Medicare reassignment NPD
• Alfonsina Larocca-Tocco, FNP-C

  • Family Nurse Practitioner
  • Hauppauge, NY
  • NPI 1235512997
  Medicare reassignment NPD
• Deborah McBane, DO

  • Internal Medicine Physician
  • Garden City, NY
  • NPI 1487633442
  Medicare reassignment NPD
• Sarah M Spadafina, MD

  • Family Medicine Physician
  • Long Island City, NY
  • NPI 1467772962
  Medicare reassignment NPD
• Melissa Liebold, PA-C

  • Physician Assistant
  • Port Jefferson Station, NY
  • NPI 1235725672
  Medicare reassignment

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1609032887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873234",
            "telephone_number": "631-265-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Route 111",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117884339",
            "country_code": "US",
            "telephone_number": "631-265-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2171 Jericho Tpke Ste 300",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252912",
            "country_code": "US",
            "telephone_number": "631-670-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERTA A BIANCO DOPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "BIANCO",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-4200"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rizzo
• Robbins Surgery PC
• Sheri L Robbins, COTA
• Robert D. Berney
• Robert P Morris MD and John Romanelli MD
• Barbara Roberts, LCSW CASAC
• John Robinson, M.D.
• Nichole Robinson
• Tequila Robinson
• Thomas Anthony Robinson, D.M.D

• Primary Care Clinic/Center in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.