Individual provider Active NPI

Puneet Bedi, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1881838324
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
271819-1 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212
Phone
(718) 240-5615
Fax
(718) 485-4064
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18519 ME
Nephrology Physician 207RN0300X 271819-1 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3198
Phone (718) 240-5615

Other practice location 1

118 Bennett Dr
Suite 130
Caribou, ME 04736-2052
Phone (207) 498-3476

Other identifiers 1

IdentifierTypeStateIssuer
03725284MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000404 NY Practitioner - Nephrology 5597880237 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18519MEMDInternal Medicine Physician
271819-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC CurrentSince Aug 19, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 31, 2017 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Aug 19, 2022 Accepting new patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Aug 19, 2022 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 31, 2017 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Oct 8, 2013 Accepting new patients
The Aroostook Medical Center Past Accepting new patients
The Aroostook Medical Center Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

101 Pennsylvania Ave
Fl 7
Brooklyn, NY 11207
Phone (347) 789-9297

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1 Brookdale Plz
Rm 169CHC
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Rm 169
Brooklyn, NY 11212
Phone (718) 240-5615

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1 Brookdale Plz
#169
Brooklyn, NY 11212
Phone (718) 240-5615

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1881838324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Bennett Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Caribou",
            "state": "ME",
            "postal_code": "047362052",
            "country_code": "US",
            "telephone_number": "207-498-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDI",
        "first_name": "PUNEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD18519",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "271819-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03725284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.