Individual provider Active NPI

Aidan Bennardo, DO

  • Internal Medicine Physician
  • East Meadow, NY
National Provider Identifier
1205332145
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
317532 Issued in NY
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

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726002234 NY Practitioner - Internal Medicine 9931503794 Reassigns benefits to 2 organizations
Practice locations: East Meadow, NY

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

Merit-based Incentive Payment System (MIPS)

Final score
72.07 of 100Reported as individual
Quality
53.33
Improvement activities
40
Cost
69.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317532NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.