NPIMap

Organization Active NPI

Scott Bienenfeld, MD LLC

  • Addiction Psychiatry Physician
  • Montclair, NJ
National Provider Identifier
1992038616
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MA07806800 Issued in NJ
Legal business name
SCOTT BIENENFELD, MD LLC
Practice address
33 Plymouth St
Suite 104
Montclair, NJ 07042-2607
Phone
(973) 509-1444
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Scott Bienenfeld, M.D.
Title
Owner
Phone
(973) 509-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X MA07806800 NJ Primary

Addresses

Primary practice location

33 Plymouth St
Suite 104
Montclair, NJ 07042-2607

Mailing address

33 Plymouth St
Suite 104
Montclair, NJ 07042-2607
Phone (973) 509-1444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1992038616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST",
            "address_2": "SUITE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422607",
            "telephone_number": "973-509-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST",
            "address_2": "SUITE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422607",
            "telephone_number": "973-509-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BIENENFELD, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "BIENENFELD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-509-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "MA07806800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.