Active NPI
Bethpage Medical PLLC
- Medical Physician Assistant
- Plainview, NY
National Provider Identifier
1760936314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- BETHPAGE MEDICAL PLLC
- Practice address
- 131 E Ames CT
Plainview, NY 11803-2317 - Phone
- (516) 414-5865
- NPI assigned
- Aug 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Briana Farley
- Title
- Credential Coordinator
- Phone
- (516) 414-5865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NY | Primary |
Addresses
Primary practice location
131 E Ames CT
Plainview, NY 11803-2317
Mailing address
131 E Ames CT
Plainview, NY 11803-2317
Phone (516) 414-5865
National Provider Directory
National Provider Directory- Tax ID family
- Bethpage Medical PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Women's Health Nurse Practitioner
- Massapequa, NY
- NPI 1811429327
Locations
131 E Ames Ct
Plainview, NY 11803
Phone (516) 414-5865
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1841377231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470960000000",
"number": "1760936314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E AMES CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032317",
"telephone_number": "516-414-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E AMES CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032317",
"telephone_number": "516-414-5865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHPAGE MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIANA",
"authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
"authorized_official_telephone_number": "516-414-5865"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.