Organization Active NPI

Esenbike Bek, M.D. P.C.

  • Internal Medicine Physician
  • Smithtown, NY
National Provider Identifier
1801095807
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189399 Issued in NY
Legal business name
ESENBIKE BEK, M.D. P.C.
Practice address
319 Middle Country Rd
Suite # 8
Smithtown, NY 11787-2819
Phone
(631) 979-6955
Fax
(631) 979-6965
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Esenbike Bek, M.D.
Title
President
Phone
(631) 979-6955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 189399 NY Primary

Addresses

Primary practice location

319 Middle Country Rd
Suite # 8
Smithtown, NY 11787-2819

Mailing address

319 Middle Country Rd
Suite # 8
Smithtown, NY 11787-2819
Phone (631) 979-6955

Other identifiers 3

IdentifierTypeStateIssuer
775721OtherNYMEDICARE
01624060MedicaidNY
77572OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

319 E Middle Country Rd
Ste 8
Smithtown, NY 11787
Phone (631) 979-6955

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1801095807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MIDDLE COUNTRY RD",
            "address_2": "SUITE # 8",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872819",
            "telephone_number": "631-979-6955",
            "fax_number": "631-979-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MIDDLE COUNTRY RD",
            "address_2": "SUITE # 8",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872819",
            "telephone_number": "631-979-6955",
            "fax_number": "631-979-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESENBIKE BEK, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "BEK",
        "authorized_official_first_name": "ESENBIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-979-6955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "775721",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624060",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.