Active NPI
Bethel Medical Associates LLC
- Internal Medicine Physician
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 225651
- Legal business name
- BETHEL MEDICAL ASSOCIATES LLC
- Practice address
- 10 Esquire Rd
Suite 9
New City, NY 10956-3336 - Phone
- (845) 499-2460
- NPI assigned
- Feb 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stanley John, M.D
- Title
- Owner
- Phone
- (845) 499-2460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 225651 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 259643 | NY |
Addresses
Primary practice location
10 Esquire Rd
Suite 9
New City, NY 10956-3336
Mailing address
10 Esquire Rd Ste 9
New City, NY 10956-3336
Phone (845) 499-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2052681 | Bethel Medical Associates, LLC | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
10 Esquire Rd
Ste 9
New City, NY 10956
Phone (201) 254-4766
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Newburgh, NY
- NPI 1346272333
-
- Internal Medicine Physician
- New City, NY
- NPI 1356679823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351209600000",
"number": "1316219256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ESQUIRE RD STE 9",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563336",
"telephone_number": "845-499-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ESQUIRE RD",
"address_2": "SUITE 9",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563336",
"telephone_number": "845-499-2460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-10-26",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "STANLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-499-2460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "225651",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "259643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.