DR. THOMAS BIANCANIELLO (NPI# 1407899388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407899388 |
| Entity Type | Individual |
| Full Name | DR. THOMAS BIANCANIELLO |
| Credential | M.D. |
| Practice Address |
57 Southern Blvd Suite 3 Nesconset NY 11767-1091 |
| Practice Telephone | 6312653300 |
| Practice Fax Number | 6312653303 |
| Mailing Telephone | 6312653300 |
| Mailing Fax Number | 6312653303 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
127267 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNITEDHEALTHCARE EMPIRE PLAN NETWORK | 133908648 | 01 |
| NY | 00524474 | 05 | |
| NY | AETNA | 4313729 | 01 |
| Street Address |
57 SOUTHERN BLVD SUITE 3 |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915454 | Anne Capogna | Audiologist-Hearing Aid Fitter | 57 Southern Blvd, Nesconset, NY 11767-1091 | 2011-09-01 |
| 1851584841 | Ear Works Audiology PC | Audiologist-Hearing Aid Fitter | 57 Southern Blvd, Suite 4, Nesconset, NY 11767-1091 | 2007-08-22 |
| 1881714244 | Darlene Joan Paduano | Nurse Practitioner | 57 Southern Blvd, Suite 1, Nesconset, NY 11767-1091 | 2007-03-30 |
| 1366574790 | Nadine Sanfratello | Audiologist | 57 Southern Blvd, Suite 4, Nesconset, NY 11767-1091 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183877 | Robert Walter Hickey | Pharmacist | 115 Sheppard Ln, Nesconset, NY 11767 | 2017-06-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1538485511 | Christina Ferlise-clark | Social Worker | 206 Nichols Rd, Nesconset, NY 11767 | 2010-04-15 |
| 1982843017 | Sharon Frances Devivo | Registered Nurse | 45 Rockey Point Road, Middle Island, NY 11767 | 2009-02-12 |
| 1649429523 | Justin Tate | Occupational Therapist | 14 Suburban Lane, Nesconset, NY 11767 | 2008-09-16 |
| 1386801520 | Helene Ann Hopkins Farley | Registered Nurse | 65 Tiffany Way, Nesconset, NY 11767 | 2008-05-16 |
| 1992978456 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 200 A Gibbs Pond Rd, Nesconset, NY 11767 | 2008-04-07 |
| 1205019403 | Sherrie Glasser Physical Therapy/john Douglas Pta | Specialist | 5 Browns Rd, Nesconset, NY 11767 | 2007-12-11 |
| 1710109665 | Chiropractic Associates of Long Island PC | Chiropractor | 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 | 2007-05-02 |
| Find all providers in zip 11767 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995771 | Susan Beker | Pediatrics | 157 Barlow Dr S, Brooklyn, NY 11234 | 2014-05-24 |
| 1750624995 | Maher Nazih Abadeer | Pediatrics | Ur Medicine Golisano Children's Hospital, 601 Elmwood Ave, Rochester, NY 14642 | 2013-04-05 |
| 1891037578 | Chalese Katche Richardson-olivier | Pediatrics | 1111 Marcus Ave Ste M15, New Hyde Park, NY 11042-1034 | 2013-03-20 |
| 1750637328 | Ankur Bharat Shah | Pediatrics | 14601 45th Ave Ste 302, Flushing, NY 11355-2280 | 2012-07-31 |
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1730447525 | Jess T. Randall | Pediatrics | 319 S. Manning Blvd, Suite 203, Albany, NY 12208 | 2012-04-30 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1134442999 | Ivan G Dimich | Pediatrics | 201east79thstreetsuite, 20 E, New York, NY 10075-0836 | 2010-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.