Active NPI
Michael Bednarski
- Psychologist
- Bayonne, NJ
National Provider Identifier
1245820364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014807-1
- Practice address
- 42 W 10TH St
Bayonne, NJ 07002-2506 - Phone
- (201) 240-9298
- NPI assigned
- Jan 22, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014807-1 | NY | Primary |
Addresses
Primary practice location
42 W 10TH St
Bayonne, NJ 07002-2506
Mailing address
42 W 10TH St
Bayonne, NJ 07002-2506
Phone (201) 240-9298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014807-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1245820364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 W 10TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022506",
"telephone_number": "201-240-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 W 10TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022506",
"telephone_number": "201-240-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDNARSKI",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014807-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.