Individual provider Active NPI

Bonnie D Eilen, M.D.

  • Specialist
  • White Plains, NY
National Provider Identifier
1679562946
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
137357-1 Issued in NY
Practice address
210 Westchester Ave
White Plains, NY 10604-2901
Phone
(914) 682-0732
Fax
(914) 682-6582
NPI assigned
Oct 19, 2005
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 137357-1 NY Primary
Obstetrics & Gynecology Physician 207V00000X 137357 NY

Addresses

Primary practice location

210 Westchester Ave
White Plains, NY 10604-2901

Mailing address

2700 Westchester Ave
2ND Floor
Purchase, NY 10577-2547
Phone (914) 681-3146

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000445 NY Practitioner - Obstetrics/Gynecology 5890883045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137357-1NYMDSpecialist
137357NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Group PC CurrentSince Feb 1, 2010 Accepting new patients
Westchester Medical Group, P.C. Obstetrics & Gynecology CurrentSince Feb 1, 2010 Accepting new patients
Westchester Medical Group, P.C. Past Accepting new patients
Westchester Gynecologists & Obstetricians, P.C. Specialist Past Accepting new patients

Locations

2700 Westchester Ave
Fl 2
Purchase, NY 10577

170 Maple Ave
Ste 309
White Plains, NY 10601
Phone (914) 220-0283

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Interoperability endpoints

  • Direct secure messaging: beilen@hiemail.healtheconnections.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1679562946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "address_2": "2ND FLOOR",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-681-3146",
            "fax_number": "914-457-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-682-0732",
            "fax_number": "914-682-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILEN",
        "first_name": "BONNIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "137357-1",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "137357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.