Active NPI
Adam N Bender, MD
- Neurology Physician
- New York, NY
National Provider Identifier
1629160692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 104092
- Practice address
- 1150 Park Avenue
Suite 1E
New York, NY 10128 - Phone
- (212) 876-5670
- Fax
- (212) 410-6129
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 104092 | NY | Primary |
Addresses
Primary practice location
1150 Park Avenue
Suite 1E
New York, NY 10128
Mailing address
1150 Park Avenue
Suite 1E
New York, NY 10128
Phone (212) 876-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00717102 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000543 | NY | Practitioner - Neurology | 6507053709 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Columbia University College of Physicians and Surgeons, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 Park Ave
New York, NY 10128-1244
Phone (212) 876-5670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- adambender@ab.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629160692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 PARK AVENUE",
"address_2": "SUITE 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-876-5670",
"fax_number": "212-410-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 PARK AVENUE",
"address_2": "SUITE 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-876-5670",
"fax_number": "212-410-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "ADAM",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "104092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00717102",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 8, 2007; 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.