Bidiana Extensions LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BIDIANA EXTENSIONS LLC

Practice address

1324 Forest Ave Ste 104
Staten Island, NY 10302-2044

Phone

(718) 419-7399

Fax

(631) 256-1353

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abidemi Omobolanle OmoyefaNPI 1497445068

Title

Ceo

Phone

(718) 419-7399

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Abidemi Omoyefa

  • Prosthetic/Orthotic Supplier
  • Staten Island, NY
  • NPI 1497445068
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1396435731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE STE 104",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "718-419-7399",
            "fax_number": "631-256-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE STE 104",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "718-419-7399",
            "fax_number": "631-256-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDIANA EXTENSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "OMOYEFA",
        "authorized_official_first_name": "ABIDEMI",
        "authorized_official_middle_name": "OMOBOLANLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-419-7399"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Bibawy, MD
• Suzy Bibawy, M.D.
• Tamar Bibilashvili, PH.D(MA.ED),SI(MS.ED
• Gladys Bichotte
• Gianna Bidetto
• Melissa Biegel
• Abraham S. Biegeleisen, D.D.S., P.C.
• Rebecca Bierman, PT
• Marybeth Bierster
• Barbara Ellen Bieyro, M.S. SP. ED.

• Prosthetic/Orthotic Supplier in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.