NPIMap

Organization Active NPI

Rebound New York Medical, PC

Doing business as Scott Bienenfeld, M.D.

  • Addiction Psychiatry Physician
  • New York, NY
National Provider Identifier
1457761967
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
211810 Issued in NY
Legal business name
REBOUND NEW YORK MEDICAL, PC
Doing business as
Scott Bienenfeld, M.D.
Practice address
67 Irving PL
10TH Floor
New York, NY 10003-2202
Phone
(917) 446-6829
Fax
(646) 349-4435
NPI assigned
May 6, 2014
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Scott Bienenfeld, M.D.NPI 1023049939
Title
Owner/President
Phone
(917) 446-6829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X 211810 NY Primary

Addresses

Primary practice location

67 Irving PL
10TH Floor
New York, NY 10003-2202

Mailing address

127 W 79TH St
Suite 1-N
New York, NY 10024-6416
Phone (917) 446-6829

Other names 1

  • Scott Bienenfeld, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1457761967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W 79TH ST",
            "address_2": "SUITE 1-N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246416",
            "telephone_number": "917-446-6829",
            "fax_number": "646-349-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032202",
            "telephone_number": "917-446-6829",
            "fax_number": "646-349-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND NEW YORK MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "BIENENFELD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-446-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "211810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Bienenfeld, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.