NPIMap

Organization Active NPI

Renew Medical of New York, PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1356979447
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RENEW MEDICAL OF NEW YORK, PLLC
Practice address
7202 Fort Hamilton Pkwy
Brooklyn, NY 11228-1906
Phone
(929) 491-7700
NPI assigned
Apr 1, 2020
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Rekha Bhandari, M.D.NPI 1023035466
Title
Managing Member
Phone
(516) 587-0804

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7202 Fort Hamilton Pkwy
Brooklyn, NY 11228-1906

Mailing address

1481 McDonald Ave
Brooklyn, NY 11230-4667
Phone (929) 491-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200422003016 NY Part B Supplier - Clinic/Group Practice 7416387014 Receives reassigned benefits from 44 practitioners
Practice locations: Brooklyn, NY; Ridgewood, NY; Rensselaer, NY

National Provider Directory

National Provider Directory

Locations

5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371

100 Baldwin Rd
Albany, NY 12230

4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

640 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

539 Rte 22
New York, NY 10157

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

115 S Broadway
Yonkers, NY 10701
Phone (914) 295-7200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oceanview Nursing & Rehabilitation Care CenterFar Rockaway, NY, CCN 335168 Skilled nursing facility Adp of the SNF Apr 8, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1356979447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304667",
            "telephone_number": "929-491-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7202 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281906",
            "telephone_number": "929-491-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MEDICAL OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-587-0804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.