Active NPI
Aidan Bennardo, DO
- Internal Medicine Physician
- East Meadow, NY
National Provider Identifier
1205332145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 317532
- Practice address
- 30 Newbridge Rd Ste 200
East Meadow, NY 11554-2150 - Phone
- (516) 745-0303
- NPI assigned
- Mar 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 317532 | NY | Primary |
Addresses
Primary practice location
30 Newbridge Rd Ste 200
East Meadow, NY 11554-2150
Mailing address
30 Newbridge Rd Ste 200
East Meadow, NY 11554-2150
Phone (516) 745-0303
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Hospital & facility affiliations
- Catholic Home Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.07 of 100
- Quality
- 53.33
- Improvement activities
- 40
- Cost
- 69.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317532 | NY | MD | Internal Medicine Physician |
Interoperability endpoints
- abennardo256381@nyumc.direct-ci.com
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1205332145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NEWBRIDGE RD STE 200",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542150",
"telephone_number": "516-745-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NEWBRIDGE RD STE 200",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542150",
"telephone_number": "516-745-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNARDO",
"first_name": "AIDAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-31",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "317532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.