Active NPI
Bendu Johnson
- Family Nurse Practitioner
- Eastchester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 867964
- Practice address
- 375 White Plains Rd
Eastchester, NY 10709-2826 - Phone
- (866) 389-2727
- NPI assigned
- Dec 7, 2018
- Last updated
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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 100
- Quality
- 74
- Improvement activities
- 40
- Cost
- 72.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31853 | SC | MD | Physical Medicine & Rehabilitation Physician |
| R203510 | MD | MD | Family Nurse Practitioner |
| 5023442 | NC | MD | Family Nurse Practitioner |
| 867964 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Health Integrative Medicine LLC | Current | Accepting new patients | |
| Medical Group of New York, P.C. | Family | Current | 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.
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Physical Medicine & Rehabilitation Physician
- Annapolis, MD
- NPI 1184963217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.