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B FAJARDO MD PC
NPI 1770906802
Internal Medicine in New York, NY

Active since January 24, 2014
140 WADSWORTH AVE APT 3, NEW YORK, NY 10033(212) 543-9700(212) 543-1357 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About B Fajardo Md Pc NPPES

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

B FAJARDO MD PC (NPI 1770906802) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since January 2014. The organization lists Bienvenido Fajardo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1770906802
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameB FAJARDO MD PC
Location Address140 WADSWORTH AVE APT 3New York, NY 10033-4817
Mailing Address140 Wadsworth Ave Apt 3New York, NY 10033-4817 · (212) 543-9700 · Fax (212) 543-1357
Phone(212) 543-9700
Fax(212) 543-1357
Organization SubpartNo
Authorized OfficialBienvenido FajardoMedical Director · (212) 543-9700
Enumeration DateJanuary 24, 2014
✔ NPI 1770906802 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 · 163674
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.
140 WADSWORTH AVE APT 3, New York, NY 10033
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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)

B Fajardo Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to B Fajardo MD PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Melissa Fajardo, M.D.
Nephrology
NPI 1174955579
37 NAGLE AVE
New York, NY 10040
(212) 942-0808
✔ PECOS0.8 mi
Bienvenido Fajardo, M.D.
Internal Medicine
NPI 1528153467
37 NAGLE AVE APT 1D
New York, NY 10040
(212) 942-0808
✔ PECOS✔ Accepts Medicare0.8 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 B Fajardo MD PC's NPI number?

The NPI number for B Fajardo MD PC is 1770906802. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is B Fajardo MD PC located?

B Fajardo MD PC is located at 140 Wadsworth Ave Apt 3, New York, NY 10033. The listed phone number is (212) 543-9700.

What is B Fajardo MD PC's specialty?

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

Is B Fajardo MD PC enrolled in Medicare?

Yes. B Fajardo MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through B Fajardo MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to B Fajardo MD PC, in Internal Medicine and Nephrology. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for B Fajardo MD PC was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.