Individual provider Active NPI

Michael Sloane, M.D.

  • Internal Medicine Physician
  • Whitestone, NY
National Provider Identifier
1952397390
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
130207 Issued in NY
Practice address
15403 10TH Ave
Whitestone, NY 11357-1912
Phone
(718) 767-9400
Fax
(718) 767-9597
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 130207 NY
Internal Medicine Physician 207R00000X 130207 NY Primary

Addresses

Primary practice location

15403 10TH Ave
Whitestone, NY 11357-1912

Mailing address

15403 10TH Ave
Whitestone, NY 11357-1912
Phone (718) 767-9400

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
I20070320000099 NY Practitioner - Internal Medicine 7416050059 Practice locations: Hicksville, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130207NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, LLP Internal Medicine Current Accepting new patients
Summit Health Internal Medicine CurrentSince Nov 16, 2020 Accepting new patients
Aristotelis Sakellaridis, MD, PC Internal Medicine Past Accepting new patients

Locations

3344 Bell Blvd
Flushing, NY 11361
Phone (718) 224-9527

19303 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 721-4648

2035 Lakeville Rd
North New Hyde Pk, NY 11040
Phone (516) 328-9797

15403 10th Ave
Whitestone, NY 11357
Phone (212) 691-7554

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1952397390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15403 10TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571912",
            "telephone_number": "718-767-9400",
            "fax_number": "718-767-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15403 10TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571912",
            "telephone_number": "718-767-9400",
            "fax_number": "718-767-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOANE",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "130207",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "130207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.