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DR. EDWARD J BIENIEWICZ MD
NPI 1750448031
General Practice in East Islip, NY

Active since January 03, 2007PECOS Enrolled
167 E MAIN ST, EAST ISLIP, NY 11730(631) 666-1700(631) 666-1735 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Oct 20, 2021, Sep 16, 2020 (3 updates tracked since 2020).

About Dr. Edward J Bieniewicz Md NPPES

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

DR. EDWARD J BIENIEWICZ MD (NPI 1750448031) is an individual general practice provider in East Islip, New York, licensed in New York (136080) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750448031
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDWARD J BIENIEWICZCredential: MD
Location Address167 E MAIN STEast Islip, NY 11730-2602
Mailing Address167 E Main StEast Islip, NY 11730-2602 · (631) 666-1700 · Fax (631) 666-1735
Phone(631) 666-1700
Fax(631) 666-1735
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
✔ NPI 1750448031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 136080
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSpecialistTaxonomy 174400000X · License 136080 (NY)
Also ListedSurgeryTaxonomy 208600000X · License 136080 (NY)
167 E MAIN ST, East Islip, NY 11730
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Other Identifiers 7

Other136080NY · License Number
Other1000016145NY · Affinity Provider Number
OtherCS126NY · Oxford Provider Number
Other0041653NY · Aetna Provider Number
Other136080-9NY · Workers Comp Board Auth #
Other26504PNY · Hip Pris Number
Other7502NY · Vytra Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward J Bieniewicz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Edward Bieniewicz's NPI number?

The NPI number for Edward Bieniewicz is 1750448031. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Edward Bieniewicz located?

Edward Bieniewicz practices at 167 E Main St, East Islip, NY 11730. The listed phone number is (631) 666-1700.

What is Edward Bieniewicz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edward Bieniewicz enrolled in Medicare?

Yes. Edward Bieniewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Bieniewicz was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.