Organization Active NPI

Bedford Medical P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1972539427
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
166469 Issued in NY
Legal business name
BEDFORD MEDICAL P.C.
Practice address
2269 Ocean Ave
Brooklyn, NY 11229-3103
Phone
(718) 339-8200
Fax
(718) 336-0069
NPI assigned
Jun 25, 2006
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Frida Goldin, MDNPI 1639118946
Title
Medical Doctor
Phone
(718) 339-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 166469 NY Primary

Addresses

Primary practice location

2269 Ocean Ave
Brooklyn, NY 11229-3103

Mailing address

2269 Ocean Ave
Brooklyn, NY 11229-3103
Phone (718) 339-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000233 NY Part B Supplier - Clinic/Group Practice 5698712057 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1972539427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293103",
            "telephone_number": "718-339-8200",
            "fax_number": "718-336-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293103",
            "telephone_number": "718-339-8200",
            "fax_number": "718-336-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-339-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "166469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.