Organization Active NPI

Scott Bienenfeld, M.D., LLC

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1174031041
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
211810 Issued in NY
Legal business name
SCOTT BIENENFELD, M.D., LLC
Practice address
67 Irving PL FL 2
New York, NY 10003-2202
Phone
(917) 446-6829
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Scott Bienenfeld, MD
Title
President
Phone
(917) 446-6829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 211810 NY Primary

Addresses

Primary practice location

67 Irving PL FL 2
New York, NY 10003-2202

Mailing address

95 Woodland Park Dr
Tenafly, NJ 07670-3029

Other practice location 1

33 Plymouth St Ste 104
Montclair, NJ 07042-2677
Phone (917) 446-6829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1174031041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND PARK DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032202",
            "telephone_number": "917-446-6829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Plymouth St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422677",
            "country_code": "US",
            "telephone_number": "917-446-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT BIENENFELD, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BIENENFELD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-446-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.