Suresh N Bendale, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039877-1 Issued in NY

Practice address

337 Saint Nicholas Ave
Ridgewood, NY 11385-2738

Phone

(718) 366-4107

Fax

(718) 366-4107

NPI assigned

Oct 19, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073502274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CLIFF ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063411",
            "telephone_number": "201-659-5980",
            "fax_number": "201-659-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SAINT NICHOLAS AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852738",
            "telephone_number": "718-366-4107",
            "fax_number": "718-366-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDALE",
        "first_name": "SURESH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039877-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00952561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Baum, LMHC
• Isabel Beckenstein
• Babak Behmanesh, D.D.S.
• Alan Richard Belsky, D.C.
• Sonia Beltre
• Benedicto, Figueroa Medical Group PC
• Milagros Benedicto
• Heba Benjamin
• Cynthia Bennett, RN
• Jeffrey Berman, OD

• General Practice Dentistry in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.