Individual provider Active NPI

Wendy Lynn Bendersky, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1194946772
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010297-1 Issued in NY
Practice address
130 East 77TH Street
8TH Floor
New York, NY 10021
Phone
(212) 861-2300
Fax
(212) 861-2442
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010297-1 NY Primary
Physician Assistant 363A00000X 25MP00141200 NJ

Addresses

Primary practice location

130 East 77TH Street
8TH Floor
New York, NY 10021

Mailing address

966 Thompson Dr
Bay Shore, NY 11706-7505
Phone (516) 652-5480

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001425 NY Practitioner - Physician Assistant 3173053113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil S Roth MD P CGroup PAC ID 7113143744, 3 clinicians

Practice addresses (Care Compare)

210 E 64TH St
FL 4
New York, NY 10065-7471
Phone (212) 861-2300

222 Westchester Ave
Suite 308
West Harrison, NY 10604-2925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010297-1NYMDSpeech-Language Pathologist
25MP00141200NJMDPhysician Assistant

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1194946772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 THOMPSON DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067505",
            "telephone_number": "516-652-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAST 77TH STREET",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-861-2300",
            "fax_number": "212-861-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDERSKY",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010297-1",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00141200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.