Douglas Bienstock, D. O.
Individual provider Active NPI Family Medicine Physician · Hawthorne, NJ
NPI 1831151356 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1831151356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MB064309 (NJ)
- Practice address
- 150 Lafayette Ave
Hawthorne, NJ 07506-2679 - Phone
- (201) 882-1050
- Fax
- (201) 882-1040
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB064309 | NJ | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB064309 | NJ | Yes |
Addresses
Primary practice location
150 Lafayette Ave
Hawthorne, NJ 07506-2679
Mailing address
150 Lafayette Ave
Hawthorne, NJ 07506-2679
Phone (201) 882-1050
Other providers in Hawthorne, NJ
- Christopher Anthony Bauer
- Julie Becker
- Lauren E Bender
- Peter J Berger
- Mary C Bergin
- Leah Bienstock
- Big Toe Management LLC
- Christina Bottiglierie
- Megan Anne Branagh
- Crystal Vogue Brito
All providers in Hawthorne, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.