Bienvenido Fajardo, M.D.P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

163674 Issued in NY

Legal business name

BIENVENIDO FAJARDO, M.D.P.C.

Practice address

37 Nagle Ave Apt 1D
New York, NY 10040

Phone

(212) 942-0808

Fax

(212) 942-1553

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bienvenido Fajardo, M.D.NPI 1528153467

Title

President

Phone

(212) 942-0808

Specialties & licenses 1

Addresses

Other names 1

• Associated Medical Group, PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bienvenido Fajardo, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1528153467
  NPD Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1760655120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NAGLE AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401483",
            "telephone_number": "212-942-0808",
            "fax_number": "212-942-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NAGLE AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10040",
            "telephone_number": "212-942-0808",
            "fax_number": "212-942-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVENIDO FAJARDO, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "BIENVENIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-942-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Medical Group, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Medical Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Bienstock
• Dennis Mark Bienstock, MD
• Eliza Bienstock
• Jessica Bienstock, CCC-SLP
• Solomon Bienstock, M.D.
• Bienvenido Fajardo, M.D.P.C.
• Allison Jayme Bier, M.A, CCC-SLP
• Louise Bier, MS, CGC
• Kristin Bierbauer, PA-C
• Bryn Bierbaum

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.