NPIMap

Organization Active NPI

Charles G Bleecher MDPC

  • Specialist
  • Selden, NY
National Provider Identifier
1730203308
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
171781 Issued in NY
Legal business name
CHARLES G BLEECHER MDPC
Practice address
243 Boyle Rd
Selden, NY 11784-1929
Phone
(631) 696-2000
Fax
(631) 696-2003
NPI assigned
Mar 19, 2007
Last updated
Aug 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Charles G Bleecher, MDNPI 1134117989
Title
President
Phone
(631) 696-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 171781 NY Primary

Addresses

Primary practice location

243 Boyle Rd
Selden, NY 11784-1929

Mailing address

243 Boyle Rd
Selden, NY 11784-1929
Phone (631) 696-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1730203308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-696-2000",
            "fax_number": "631-696-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 BOYLE RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841929",
            "telephone_number": "631-696-2000",
            "fax_number": "631-696-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G BLEECHER MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BLEECHER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-696-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "171781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.