Individual provider Active NPI

Laurence G Bilsky, MD

  • Hematology & Oncology Physician
  • Woodbury, NY
National Provider Identifier
1790766624
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
112386 Issued in NY
Practice address
40 Crossways Park Drive
Suite 103
Woodbury, NY 11797-2036
Phone
(516) 921-5533
Fax
(516) 364-4080
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 112386 NY Primary

Addresses

Primary practice location

40 Crossways Park Drive
Suite 103
Woodbury, NY 11797-2036

Mailing address

40 Crossways Park Drive
Suite 103
Woodbury, NY 11797-2036
Phone (516) 921-5533

Other identifiers 1

IdentifierTypeStateIssuer
01454948MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1790766624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSSWAYS PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972036",
            "telephone_number": "516-921-5533",
            "fax_number": "516-364-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROSSWAYS PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972036",
            "telephone_number": "516-921-5533",
            "fax_number": "516-364-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILSKY",
        "first_name": "LAURENCE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "112386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01454948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.