Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124756515 Individual Practitioner Female Practitioner

Jerdene Bachus

Specialist • Plainview, NY

Professional Overview & Biography Verified Profile Summary

Jerdene Bachus is a registered healthcare professional specializing in Specialist in Plainview, NY. Practice services are available at 255 EXECUTIVE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 Executive Dr

Plainview, NY 118031718

Telephone 3479654381
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Plainview, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
197 Specialists

Practicing in Plainview, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-12
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sophia Natanelova

Early Intervention Provider Agency

NPI 1003157090
NPI 1023373792

Master of Science in Education

Dana Bubolo , MA

Speech-Language Pathologist

NPI 1023598976

Master of Arts

Jennifer Koch

Specialist

NPI 1033465141
Amy Cohen , MA

Specialist

NPI 1043350002

Master of Arts

Megan Schmulbach , OTR

Occupational Therapist

NPI 1043525777

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2022

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 3479654381)

📍
Updated Business Mailing Address August 12, 2022

Registered at 13824 232ND ST, LAURELTON, NY 114132837

👤
Provider Name / Credentials Updated August 12, 2022

Recorded as JERDENE BACHUS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2022

Specialist

🟢
Initial NPI Registration & Enumeration August 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124756515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2022
Last Update: August 12, 2022
Sole Proprietor: No

Mailing Address

13824 232nd St

Laurelton, NY 114132837

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.