DR. MONTY MAX BODENHEIMER MD NPI 1013027671

NPI Information

  • NPI: 1013027671
  • Provider Name: DR. MONTY MAX BODENHEIMER, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 3003 NEW HYDE PARK RD
    STE 406
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 719-0102

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NPI Details

DR. Monty Max Bodenheimer, MD is a cardiovascular disease internal medicine in New Hyde Park, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Monty Max Bodenheimer, MD NPI is 1013027671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3003 NEW HYDE PARK RD
STE 406
NEW HYDE PARK, NY
ZIP 11042-214
Phone: (516) 719-0102
Fax: (516) 358-5403

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease153049NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B88368MEDICARE UPIN
290A18CMEDICARE ID-TYPE UNSPECIFIEDNEW YORKGHI
3919553MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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