James Bedell, PA
Individual provider Active NPI Physician Assistant · West Islip, NY
NPI 1720002454 · NPPES record last updated Feb 13, 2009
Key facts
- NPI
- 1720002454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 006556 (NY)
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-3000
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006556 | NY | Yes |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
PO Box 6010
Hauppauge, NY 11788-9010
Phone (631) 232-4000
Other providers in West Islip, NY
- Emily Elizabeth Batt
- Raymond Michael Baule
- Chloe Nicole Beas
- Anne Marie Becker
- Brian Vincent Becker
- Kimon Bekelis
- Alexandra Marie Bell
- John Bello
- Marie Bennardo
- Tracey Bennardo
All providers in West Islip, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.