William Bedsole, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NC07397000 Issued in NJ

Practice address

61 W. Jimmie Leeds Road
Pomona, NJ 08240-0723

Phone

(609) 652-7000

Fax

(609) 748-7755

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Smithville Medical Associates LLC

  • Family Medicine Physician
  • Galloway, NJ
  • NPI 1295727576

  NJ

  Medicare reassignment NPD
• Insightful Pathways LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Galloway, NJ
  • NPI 1902627623
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1386715274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W. JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400723",
            "telephone_number": "609-652-7000",
            "fax_number": "609-748-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W. JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400723",
            "telephone_number": "609-652-7000",
            "fax_number": "609-748-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSOLE",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NC07397000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204625",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bacharach Institute for Rehabilitation Inc
• Bacharach Institute for Rehabilitation, Inc.
• Bacharach Institute for Rehabilitation, Inc.
• Angeliki Bardis
• Crystal Theresa Bass, M.D.
• Stephanie N Bell, APN
• Maria Leah Gudia Beyers, RN, APN
• Megan M. Bogdan, CRNA
• Amit Borah, M.D.
• Emily Jessica Braverman, PHARMD

• All providers in Pomona, NJ
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.