Individual provider Active NPI

Bendu Johnson

  • Family Nurse Practitioner
  • Eastchester, NY
National Provider Identifier
1093286700
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
867964 Issued in NY
Practice address
375 White Plains Rd
Eastchester, NY 10709-2826
Phone
(866) 389-2727
NPI assigned
Dec 7, 2018
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191271 VA
Family Nurse Practitioner 363LF0000X 5023442 NC
Family Nurse Practitioner 363LF0000X 867964 NY Primary
Family Nurse Practitioner 363LF0000X R203510 MD
Family Nurse Practitioner 363LF0000X 31853 SC

Addresses

Primary practice location

375 White Plains Rd
Eastchester, NY 10709-2826

Mailing address

107 S Country Rd
Bellport, NY 11713-2523

Other practice location 1

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (864) 962-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190204000189 MD Practitioner - Nurse Practitioner 8123365855 Reassigns benefits to 1 organization
I20200407003963 DC Practitioner - Nurse Practitioner 8123365855 Reassigns benefits to 1 organization
I20250918000770 NY Practitioner - Nurse Practitioner 8123365855 Reassigns benefits to 1 organization
I20251013001821 VA Practitioner - Nurse Practitioner 8123365855

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians

Practice addresses (Care Compare)

375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
31853SCMDPhysical Medicine & Rehabilitation Physician
R203510MDMDFamily Nurse Practitioner
5023442NCMDFamily Nurse Practitioner
867964NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Health Integrative Medicine LLC CurrentSince Jan 9, 2019 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Aug 28, 2025 Accepting new patients

Locations

1833 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 216-9180

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1093286700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S COUNTRY RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092826",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 Fairview Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296806708",
            "country_code": "US",
            "telephone_number": "864-962-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENDU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "867964",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "31853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.