Individual provider Active NPI

Jonelle M N Bingham-Alexander, M.D.

  • Obstetrics & Gynecology Physician
  • Putnam Valley, NY
National Provider Identifier
1083688667
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230893-1 Issued in NY
Practice address
205 Waterside Professional Park
Putnam Valley, NY 10579-3505
Phone
(914) 528-7664
Fax
(914) 526-2386
NPI assigned
Feb 13, 2006
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 230893-1 NY Primary
Obstetrics & Gynecology Physician 207V00000X MD2013-0417 NM

Addresses

Primary practice location

205 Waterside Professional Park
Putnam Valley, NY 10579-3505

Mailing address

50 Dayton LN
Suite 202
Peekskill, NY 10566-2859
Phone (914) 739-0087

Other identifiers 1

IdentifierTypeStateIssuer
02523111MedicaidNY

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
I20040630000211 NY Practitioner - Obstetrics/Gynecology 0244217123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians

Practice addresses (Care Compare)

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 992-7669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2013-0417NMMDObstetrics & Gynecology Physician
230893-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Practice, PC CurrentSince Feb 10, 2014 Accepting new patients
Bronxcare Health System Current Accepting new patients
Bronxcare Health System CurrentSince Jul 1, 2019 Accepting new patients
Bronxcare Health System CurrentSince Jul 1, 2019 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Feb 10, 2014 Accepting new patients
Waterside Womens Medical Care PC Obstetrics & Gynecology Past Accepting new patients
Bronxcare Health System Past Accepting new patients
Obstetric and Gynecologic Assoc of Cortland MD PC Obstetrics & Gynecology PastSince Jan 1, 2015 Accepting new patients
Jba Women's Medical PC Obstetrics & Gynecology PastSince Jul 21, 2011 Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1968 Crompond Rd
Cortlandt Manor, NY 10567
Phone (914) 736-0703

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

50 Dayton Ln
Ste 202
Peekskill, NY 10566

205 Waterside Professional Park
Putnam Valley, NY 10579
Phone (914) 528-7664

205 Waterside Professional Park
Ste 205
Putnam Valley, NY 10579
Phone (914) 528-7664

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1083688667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN",
            "address_2": "SUITE 202",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662859",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WATERSIDE PROFESSIONAL PARK",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793505",
            "telephone_number": "914-528-7664",
            "fax_number": "914-526-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM-ALEXANDER",
        "first_name": "JONELLE",
        "middle_name": "M N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "230893-1",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2013-0417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

Verify at the official NPI Registry.