Individual provider Active NPI

Bharati Jasmeet Bedi, D.D.S.

  • General Practice Dentistry
  • Holtsville, NY
National Provider Identifier
1104885854
Registry record updated Dec 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051346 Issued in NY
Practice address
280 Greenbelt Pkwy
Holtsville, NY 11742-2207
Phone
(631) 472-1832
Fax
(631) 472-9725
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051346 NY Primary

Addresses

Primary practice location

280 Greenbelt Pkwy
Holtsville, NY 11742-2207

Mailing address

280 Greenbelt Pkwy
Holtsville, NY 11742-2207
Phone (631) 472-1832

Other identifiers 2

IdentifierTypeStateIssuer
9178281OtherNYDORAL
02633416MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001483 NY Order and Referring Only - DentistPractitioner - Dentist 7517257272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051346NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bharati J. Bedi, D.D.S., P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197676800000",
    "number": "1104885854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 GREENBELT PKWY",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422207",
            "telephone_number": "631-472-1832",
            "fax_number": "631-472-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 GREENBELT PKWY",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422207",
            "telephone_number": "631-472-1832",
            "fax_number": "631-472-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDI",
        "first_name": "BHARATI",
        "middle_name": "JASMEET",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9178281",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633416",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

Verify at the official NPI Registry.