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BETHPAGE MEDICAL WELLNESS PC
NPI 1578813838
Internal Medicine in Bethpage, NY

Active since September 14, 2012
4250 HEMPSTEAD TPKE, SUITE 19, BETHPAGE, NY 11714(516) 597-4433 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethpage Medical Wellness Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHPAGE MEDICAL WELLNESS PC (NPI 1578813838) is a healthcare organization registered as an internal medicine in Bethpage, New York and active in the NPI registry since September 2012. The organization lists Bita Ashourzadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1578813838
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHPAGE MEDICAL WELLNESS PC
Location Address4250 HEMPSTEAD TPKE, SUITE 19Bethpage, NY 11714-5711
Mailing Address4250 Hemstead Turnpike, Suite 19Bethpage, NY 11714-5707 · (516) 597-4433
Phone(516) 597-4433
Organization SubpartNo
Authorized OfficialBita AshourzadehOwner · (516) 610-5081
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1578813838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 221358
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4250 HEMPSTEAD TPKE, Bethpage, NY 11714
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Other Identifiers 1

Medicaid02227989NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethpage Medical Wellness Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bethpage Medical Wellness PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bita Ashourzadeh, MD
Internal Medicine
NPI 1790720027
90 WILDWOOD RD
Great Neck, NY 11024
(516) 796-4433
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethpage Medical Wellness PC's NPI number?

The NPI number for Bethpage Medical Wellness PC is 1578813838. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Bethpage Medical Wellness PC located?

Bethpage Medical Wellness PC is located at 4250 Hempstead Tpke Suite 19, Bethpage, NY 11714. The listed phone number is (516) 597-4433.

What is Bethpage Medical Wellness PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bethpage Medical Wellness PC enrolled in Medicare?

Yes. Bethpage Medical Wellness PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethpage Medical Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bethpage Medical Wellness PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bethpage Medical Wellness PC was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.