Lila Michelle Bleich, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349094 Issued in NY

Practice address

181 Old Country Rd
Carle Place, NY 11514-1907

Phone

(516) 248-5437

NPI assigned

Jan 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Lasante Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1740672732
  Medicare reassignment NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851042188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROOSEVELT BLVD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522720",
            "telephone_number": "516-974-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD COUNTRY RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141907",
            "telephone_number": "516-248-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEICH",
        "first_name": "LILA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Beata Toro, MD
• Melissa Beausoleil, ATC
• Steven Beller, PH.D.
• Stephanie Bendel, M.A.
• Ricardo Gary Blanchard
• Katerina Blum
• Deborah Brienza, OTR, CHT
• Colleen Eli Butt
• Brianna Angelique Byers, LPN
• Joyce Campos

• Family Nurse Practitioner in Carle Place, NY
• Providers in Carle Place, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.