Individual provider Active NPI

Larry Michael Bishop, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1770789943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244693 Issued in NY
Practice address
359 2ND Ave
New York, NY 10010-7436
Phone
(212) 420-9225
NPI assigned
Jun 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244693 NY Primary

Addresses

Primary practice location

359 2ND Ave
New York, NY 10010-7436

Mailing address

39A Gramercy PK N
2B
New York, NY 10010-6312
Phone (917) 755-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000709 NY Practitioner - Internal Medicine 8325139819 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244693NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LB Medicine PLLC Past Accepting new patients
Rockwell Medical PC Internal Medicine PastSince Jul 25, 2023 Accepting new patients
Arjun Medical Group PC Internal Medicine PastSince Nov 19, 2003 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770789943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39A GRAMERCY PK N",
            "address_2": "2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106312",
            "telephone_number": "917-755-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107436",
            "telephone_number": "212-420-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "LARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.