Active NPI
Rebound New York Medical, PC
- Addiction Psychiatry Physician
- New York, NY
National Provider Identifier
1457761967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 211810
- Legal business name
- REBOUND NEW YORK MEDICAL, PC
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Bienenfeld, M.D.
- Title
- Owner/President
- Phone
- (917) 446-6829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 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.
National Provider Directory
National Provider DirectoryNPI 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.