Individual provider Active NPI

Scott Bienenfeld, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1023049939
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
211810 Issued in NY
Practice address
1115 Broadway Ste 1260
New York, NY 10010-3450
Phone
(917) 446-6829
Fax
(646) 349-4435
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 211810 NY Primary
Psychiatry Physician 2084P0800X MA07806800 NJ

Addresses

Primary practice location

1115 Broadway Ste 1260
New York, NY 10010-3450

Mailing address

1115 Broadway Ste 1260
New York, NY 10010-3450
Phone (917) 446-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07806800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminary Medical LLC Psychiatry Current Accepting new patients

Locations

30 Riveredge Rd
Ste 2
Tenafly, NJ 07670
Phone (201) 568-3099

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1023049939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY STE 1260",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103450",
            "telephone_number": "917-446-6829",
            "fax_number": "646-349-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY STE 1260",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103450",
            "telephone_number": "917-446-6829",
            "fax_number": "646-349-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENFELD",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211810",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA07806800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.