Active NPI
John Gregory Bentley, MD
- Pain Medicine Physician
- Poughkeepsie, NY
National Provider Identifier
1780628198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 200200493
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (203) 739-6662
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 200200493 | NC | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
45 Reade PL
Poughkeepsie, NY 12601-3947
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13114G | Other | NC | BLUE CROSS/BLUE SHIELD |
| 891414G | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Poughkeepsie, NY 12601
Phone (845) 240-7555
Hospital & facility affiliations
- Health Quest Home Care, Inc (Certified) Chha
- Hudson Valley Hospice
- Hudson Valley Rehabilitation & Extended Care Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200493 | NC | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Medical Health Choices, P.C. | Current | Accepting new patients | |
| Piedmont Spine Specialists, PA | Pain Medicine | Past | Accepting new patients |
| Hudson Valley Care Partners LLC | Past | Accepting new patients | |
| Orthopaedic Specialists of the Carolinas, P.a. | Past | Accepting new patients |
Locations
374 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 240-7555
1 Webster Ave
Poughkeepsie, NY 12601
Phone (845) 454-0120
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Poughkeepsie, NY
- NPI 1285264812
-
- Pain Medicine Physician
- Raleigh, NC
- NPI 1720028558
-
- Skilled Nursing Facility
- Highland, NY
- NPI 1588746051
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Winston Salem, NC
- NPI 1124070115
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Poughkeepsie, NY
- NPI 1639175839
-
- Community Based Hospice Care Agency
- Poughkeepsie, NY
- NPI 1508866286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1780628198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "203-739-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "JOHN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NC",
"license": "200200493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "13114G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891414G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.