Individual provider Active NPI

Adena Bargad, PHD, CNM

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1275755456
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001153-1 Issued in NY
Practice address
26 Bleecker St
New York, NY 10012-2413
Phone
(212) 965-7000
NPI assigned
May 3, 2007
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001153-1 NY Primary

Addresses

Primary practice location

26 Bleecker St
New York, NY 10012-2413

Mailing address

26 Bleecker St
New York, NY 10012-2413
Phone (212) 965-7000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000287 NY Practitioner - Certified Nurse Midwife (CNM) 4284874876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F001153-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Jul 9, 2018 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

570 Taxter Rd
Ste 250
Elmsford, NY 10523

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1275755456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122413",
            "telephone_number": "212-965-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122413",
            "telephone_number": "212-965-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGAD",
        "first_name": "ADENA",
        "credential": "PHD, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001153-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.