Active NPI
Bedford Center LLC
- Specialist
- Syosset, NY
National Provider Identifier
1083472419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- BEDFORD CENTER LLC
- Practice address
- 15 Woodcrest Dr
Syosset, NY 11791-3036 - Phone
- (718) 552-2070
- NPI assigned
- Mar 11, 2024
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devendra Shrivastava
- Title
- Practice Manager
- Phone
- (718) 552-2070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
15 Woodcrest Dr
Syosset, NY 11791-3036
Mailing address
15 Woodcrest Dr
Syosset, NY 11791-3036
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1952494536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1083472419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WOODCREST DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WOODCREST DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913036",
"telephone_number": "718-552-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDFORD CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "SHRIVASTAVA",
"authorized_official_first_name": "DEVENDRA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "718-552-2070"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.