Active NPI
Harry Bienenstock, MD
- Rheumatology Physician
- Brooklyn, NY
National Provider Identifier
1639180755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 081107-1
- Practice address
- 4015 Avenue U
Brooklyn, NY 11234-5117 - Phone
- (718) 252-8181
- NPI assigned
- Aug 11, 2006
- Last updated
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 081107-1 | NY | Primary |
Addresses
Primary practice location
4015 Avenue U
Brooklyn, NY 11234-5117
Mailing address
4015 Avenue U
Brooklyn, NY 11234-5117
Phone (718) 252-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00640579 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081107 | NY | MD | Clinical Social Worker |
| 081107-1 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology/Oncology Associates PC | Rheumatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba CPHO A division of NY Cancer & Blood Specialists
- Hematology & Oncology Physician
- New York, NY
- NPI 1467430447
Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1639180755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345117",
"telephone_number": "718-252-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345117",
"telephone_number": "718-252-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIENENSTOCK",
"first_name": "HARRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "081107-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00640579",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.