Individual provider Active NPI

Harold Bendelstein, M.D.

  • Otolaryngology Physician
  • Far Rockaway, NY
National Provider Identifier
1154487676
Registry record updated May 11, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
160938 Issued in NY
Practice address
463 Beach 6TH St
Far Rockaway, NY 11691-5439
Phone
(718) 868-1095
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 160938 NY Primary

Addresses

Primary practice location

463 Beach 6TH St
Far Rockaway, NY 11691-5439

Mailing address

463 Beach 6TH St
Far Rockaway, NY 11691-5439
Phone (718) 868-3063

Other identifiers 1

IdentifierTypeStateIssuer
00867969MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160938NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Ocean Care LLC Past Accepting new patients
N. S. So Island Diag GRP Past Accepting new patients
Peninsula Medical Services PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1154487676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 BEACH 6TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915439",
            "telephone_number": "718-868-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 BEACH 6TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915439",
            "telephone_number": "718-868-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDELSTEIN",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "160938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.