Individual provider Active NPI

Marc L Bendeth, DPM

  • Primary Podiatric Medicine Podiatrist
  • Hewlett, NY
National Provider Identifier
1700889136
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N002369-1 Issued in NY
Practice address
1226 W Broadway
Hewlett, NY 11557-1923
Phone
(516) 374-4444
Fax
(516) 374-4445
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
002369NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marc L Bendeth Primary Podiatric Medicine Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N002369-1 NY Primary

Addresses

Primary practice location

1226 W Broadway
Hewlett, NY 11557-1923

Mailing address

1226 W Broadway
Hewlett, NY 11557-1923
Phone (516) 374-4444

Other identifiers 3

IdentifierTypeStateIssuer
00400651MedicaidNY
1181270001OtherNYMEDICARE NCS
480911059OtherNYRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2008.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1700889136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 W BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571923",
            "telephone_number": "516-374-4444",
            "fax_number": "516-374-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571923",
            "telephone_number": "516-374-4444",
            "fax_number": "516-374-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDETH",
        "first_name": "MARC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N002369-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00400651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NCS",
            "identifier": "1181270001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480911059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.