Active NPI
Randolph Bendo, PT
- Physical Therapist
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032724
- Practice address
- 8202 Grand Ave
Suite 1a
Elmhurst, NY 11373-4133 - Phone
- (718) 606-0849
- Fax
- (718) 606-1077
- NPI assigned
- Oct 19, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032724 | NY | Primary |
Addresses
Primary practice location
8202 Grand Ave
Suite 1a
Elmhurst, NY 11373-4133
Mailing address
8202 Grand Ave
Suite 1a
Elmhurst, NY 11373-4133
Phone (718) 606-0849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1763 Dutch Broadway
Elmont, NY 11003-5044
Phone (516) 812-6145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032724 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Musculoskeletal Care MD PC | Physical Therapist | Current | Accepting new patients |
| Island Musculoskeletal Care MD PC | Physical Therapist | Current | Accepting new patients |
| Island Musculoskeletal Care MD PC | Physical Therapist | Current | Accepting new patients |
| Spark Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Woodhaven Physical Therapy & Rehab Services PLLC | Physical Therapist | Past | Accepting new patients |
| Mamaroneck Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
1763 Dutch Broadway
Elmont, NY 11003
Phone (347) 656-4109
1763 Dutch Broadway
#1765
Elmont, NY 11003
Phone (516) 812-6145
13616 35th Ave
Ste 1B
Flushing, NY 11354
Phone (718) 939-8600
125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1679858740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8202 GRAND AVE",
"address_2": "SUITE 1A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734133",
"telephone_number": "718-606-0849",
"fax_number": "718-606-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8202 GRAND AVE",
"address_2": "SUITE 1A",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734133",
"telephone_number": "718-606-0849",
"fax_number": "718-606-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDO",
"first_name": "RANDOLPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.