Daniel Bendetowicz, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME75758 Issued in FL

Legal business name

DANIEL BENDETOWICZ, M.D., P.A.

Practice address

6840 International Center Blvd
Fort Myers, FL 33912-7161

Phone

(239) 985-1050

Fax

(239) 985-1060

NPI assigned

Apr 4, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Bendetowicz, M.D.NPI 1891793287

Title

President

Phone

(239) 985-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGADBA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Bendetowicz, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1891793287
  Medicare reassignment NPD Authorized official
• Lisa Bendetowicz, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
  • NPI 1245637214
  NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1174645717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127161",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127161",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6840 International Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339127161",
            "country_code": "US",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL BENDETOWICZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BENDETOWICZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-985-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "DB9873",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Danek, CAA
• Khashayar Alex Daneshmand, DO
• Mohammad Daneshnia
• Alisa Dangsupa, P.T., D.P.T.
• Daniel a Black DPM PA
• Jane Ailene Daniel, MD
• Jason Daniel, MS
• Daniele Medical Equipment LLC
• Danielle Jediny-Racies (Danielle Jediny-Racies, LMFT)
• Daniels Modern Dentistry, PA (Daniels Modern Dentistry)

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.