Organization Active NPI

Holly Bienenstock, Dopc

  • Family Medicine Physician
  • Port Washington, NY
National Provider Identifier
1841340387
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
168491 Issued in NY
Legal business name
HOLLY BIENENSTOCK, DOPC
Practice address
14 Maple St
Suite 103
Port Washington, NY 11050-2946
Phone
(516) 767-3161
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Linda Schnell
Title
Office Manager
Phone
(516) 767-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 168491 NY Primary

Addresses

Primary practice location

14 Maple St
Suite 103
Port Washington, NY 11050-2946

Mailing address

14 Maple St
Suite 103
Port Washington, NY 11050-2946
Phone (516) 767-3161

National Provider Directory

National Provider Directory

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1841340387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "address_2": "SUITE 103",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "address_2": "SUITE 103",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY BIENENSTOCK, DOPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "SCHNELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-767-3161"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "168491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.