Individual provider Active NPI

Michael Ladinsky, D.O.

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1679504872
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
167285 Issued in NY
Practice address
126 E Main St
Ste1
East Islip, NY 11730-2600
Phone
(631) 581-0090
Fax
(631) 581-2879
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 167285 NY Primary

Addresses

Primary practice location

126 E Main St
Ste1
East Islip, NY 11730-2600

Mailing address

126 E Main St
Ste1
East Islip, NY 11730-2600
Phone (631) 581-0090

Other identifiers 2

IdentifierTypeStateIssuer
113190947OtherNYTAX ID
1070713MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 E Main St
East Islip, NY 11730-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167285NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole M Darrow DO P C Current Accepting new patients
Michael Ladinsky DO PC Family Medicine CurrentSince May 30, 2010 Accepting new patients

Locations

126 E Main St
East Islip, NY 11730
Phone (631) 581-0090

126 E Main St
Ste 1
East Islip, NY 11730
Phone (631) 277-8367

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1679504872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "address_2": "STE1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "address_2": "STE1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADINSKY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "113190947",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.