Individual provider Active NPI

William Bennett, MD

  • Family Medicine Physician
  • Oyster Bay, NY
National Provider Identifier
1184703373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
133265 Issued in NY
Practice address
70 W Main St
Oyster Bay, NY 11771-2211
Phone
(516) 922-1151
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 133265 NY Primary

Addresses

Primary practice location

70 W Main St
Oyster Bay, NY 11771-2211

Mailing address

70 W Main St
Oyster Bay, NY 11771-2211
Phone (516) 922-1151

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000534 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 3971683814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
North Shore Long Island Jewish Healthcare Family Medicine Past Accepting new patients
North Shore Long Island Jewish Health Care Inc PastSince Jul 1, 2012 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

70 W Main St
Oyster Bay, NY 11771
Phone (516) 922-1151

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184703373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712211",
            "telephone_number": "516-922-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712211",
            "telephone_number": "516-922-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "133265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.