Organization Active NPI

Bethpage Medical PLLC

  • Medical Physician Assistant
  • Plainview, NY
National Provider Identifier
1760936314
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Aug 12, 2016

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)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

131 E Ames Ct
Plainview, NY 11803
Phone (516) 414-5865

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.