Active NPI
Bernadette Nadira Agard-Henriques, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 211746
- Practice address
- 1802 Petracca PL Ste 103
Flushing, NY 11357-6000 - Phone
- (646) 722-7610
- Fax
- (347) 535-3970
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 79040 | CT | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 211746 | NY | Primary |
Addresses
Primary practice location
1802 Petracca PL Ste 103
Flushing, NY 11357-6000
Mailing address
1 Whittier Ave
Cortlandt Manor, NY 10567-4208
Phone (845) 514-9432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02090917 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79040 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Geriatric Medicine | Current | Accepting new patients |
| Nova Physician Group PLLC | Current | Accepting new patients | |
| Harmony Medical Services of New York, PLLC | Current | Accepting new patients | |
| Medical Director Services PC | Geriatric Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Griffin Myers Medical, P.C. | Past | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients |
Locations
158 Amity Rd
#280
New Haven, CT 06515
Phone (203) 404-3463
2000 N Main St
#A
Waterbury, CT 06704
Phone (203) 951-8306
111 E 210th St
Bronx, NY 10467
3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610
1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610
Interoperability endpoints
- bernadette.agard.henriques.1@32913.direct.athenahealth.com
- bhenriques@landmarkhealth-direct.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Primary Care Clinic/Center
- Waterbury, CT
- NPI 1093561136
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1780209445
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1235214669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WHITTIER AVE",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674208",
"telephone_number": "845-514-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 PETRACCA PL STE 103",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113576000",
"telephone_number": "646-722-7610",
"fax_number": "347-535-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARD-HENRIQUES",
"first_name": "BERNADETTE",
"middle_name": "NADIRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CT",
"license": "79040",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "211746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02090917",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.