Individual provider Active NPI

Bernadette Nadira Agard-Henriques, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
National Provider Identifier
1235214669
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
211746 Issued in NY
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

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02090917MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040730000831 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4587634084 Reassigns benefits to 3 organizations
I20240927001418 CT Practitioner - Internal Medicine 4587634084 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79040CTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Geriatric Medicine CurrentSince May 20, 2013 Accepting new patients
Nova Physician Group PLLC CurrentSince Aug 30, 2024 Accepting new patients
Harmony Medical Services of New York, PLLC CurrentSince Jan 11, 2025 Accepting new patients
Medical Director Services PC Geriatric Medicine CurrentSince Oct 22, 2018 Accepting new patients
Montefiore Medical Center CurrentSince May 20, 2013 Accepting new patients
Griffin Myers Medical, P.C. PastSince Aug 1, 2024 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 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

  • Direct secure messaging: bernadette.agard.henriques.1@32913.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.