Active NPI
Krista Renee Bendavid, PA-C
- Physician Assistant
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00968600
- Practice address
- 1945 State Route 33 FL 4
Neptune, NJ 07753-4859 - Phone
- (732) 776-4949
- Fax
- (732) 776-4509
- NPI assigned
- May 16, 2016
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3158 | OK | |
| Physician Assistant | 363A00000X | 25MP00968600 | NJ | Primary |
| Physician Assistant | 363A00000X | 5871 | MA |
Addresses
Primary practice location
1945 State Route 33 FL 4
Neptune, NJ 07753-4859
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Other practice location 2
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 693-0410
Other practice location 3
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-1805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, OK, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5871 | MA | MD | Mental Health Counselor |
| 25MP00968600 | NJ | MD | Physician Assistant |
| 3158 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Brigham and Women's Hospital | Current | Accepting new patients | |
| Martha's Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Bay Radiology Associates, Inc. | Past | Accepting new patients | |
| Martha's Vineyard Hospital | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1493 Cambridge St
Bsmt
Cambridge, MA 02139
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 State Route 33
#4
Neptune, NJ 07753
Phone (732) 776-4949
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
Interoperability endpoints
- bendavid.krista.bwh@direct.partners.masshiway.net
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
dba Saint Francis Trauma Institute
- Critical Access Hospital
- Tulsa, OK
- NPI 1003040767
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Emergency Medicine Physician
- Falmouth, MA
- NPI 1376828988
-
- Internal Medicine Physician
- Oak Bluffs, MA
- NPI 1194866210
-
- Urgent Care Clinic/Center
- Sandwich, MA
- NPI 1902146798
-
- Internal Medicine Physician
- Vineyard Haven, MA
- NPI 1346649886
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1568819902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 STATE ROUTE 33 FL 4",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-776-4949",
"fax_number": "732-776-4509"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Oak Bluffs",
"state": "MA",
"postal_code": "025571406",
"country_code": "US",
"telephone_number": "508-693-0410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6161 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741361902",
"country_code": "US",
"telephone_number": "918-494-1805",
"fax_number": "918-494-4573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDAVID",
"first_name": "KRISTA",
"middle_name": "RENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "3158",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00968600",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "5871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.