Active NPI
Bobbie Eapen, P.A.
- Physician Assistant
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014513
- Practice address
- 221 Jericho Tpke
Syosset, NY 11791-4515 - Phone
- (347) 277-8207
- NPI assigned
- Apr 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014513 | NY | Primary |
Addresses
Primary practice location
221 Jericho Tpke
Syosset, NY 11791-4515
Mailing address
2 Carol LN
Tappan, NY 10983-2127
Phone (914) 426-7862
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000
692 W 204TH St
New York, NY 10034-3027
Phone (646) 329-6490
Hospital & facility affiliations
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014513 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Southern Westchester Nephrology PLLC | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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
- New York, NY
- NPI 1578770459
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
-
- Family Medicine Physician
- Valley Cottage, NY
- NPI 1518637891
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- Nephrology Physician
- Yonkers, NY
- NPI 1033416342
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1326338153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CAROL LN",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832127",
"telephone_number": "914-426-7862",
"fax_number": "845-215-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 JERICHO TPKE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914515",
"telephone_number": "347-277-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAPEN",
"first_name": "BOBBIE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-13",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.
- 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.