Individual provider Active NPI

Benjamin Abbott Solomon, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1003294414
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
285993 Issued in NY
Practice address
113 University PL Ofc 1005
New York, NY 10003-4527
Phone
(917) 524-8603
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 285993 NY Primary

Addresses

Primary practice location

113 University PL Ofc 1005
New York, NY 10003-4527

Mailing address

113 University PL Ofc 1005
New York, NY 10003-4527
Phone (917) 524-8603

Other practice location 1

356 W 18th St
New York, NY 10011-4401
Phone (212) 271-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731002609 NY Practitioner - Psychiatry 6709157399 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

113 University PL
Ofc 1005
New York, NY 10003-4527
Phone (917) 524-8603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
285993NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apicha Community Health Center Psychiatry CurrentSince Jun 12, 2023 Accepting new patients
Apicha Community Health Center CurrentSince Jun 12, 2023 Accepting new patients

Locations

8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091

400 Broadway
Fl 4
New York, NY 10013
Phone (212) 334-6029

400 Broadway
New York, NY 10013
Phone (212) 334-6029

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA/Endpoint/JJBGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1003294414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL OFC 1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-524-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL OFC 1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-524-8603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "356 W 18th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100114401",
            "country_code": "US",
            "telephone_number": "212-271-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "BENJAMIN",
        "middle_name": "ABBOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "285993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.