Individual provider Active NPI

Christy Anne Beneri, DO

  • Pediatric Infectious Diseases Physician
  • Stony Brook, NY
National Provider Identifier
1013178920
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
232342-1 Issued in NY
Practice address
HSC Suny Stony Brook
Department of Pediatrics HSC T-11
Stony Brook, NY 11794-8111
Phone
(631) 444-7992
Fax
(631) 444-7292
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 232342-1 NY Primary

Addresses

Primary practice location

HSC Suny Stony Brook
Department of Pediatrics HSC T-11
Stony Brook, NY 11794-8111

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christy.beneri@stonybrookmedicine.edu

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
I20080902000027 NY Practitioner - Pediatric MedicinePractitioner - Infectious Disease 5799851564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232342-1NYMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Children'S Service, University Faculty Practice Corporatio CurrentSince Apr 18, 2010 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati Past Accepting new patients

Locations

269 E Main St
East Islip, NY 11730
Phone (631) 312-3493

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337

Networks

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

Interoperability endpoints

  • Direct secure messaging: christy.beneri@direct.stonybrookmedicine.edu

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1013178920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSC SUNY STONY BROOK",
            "address_2": "DEPARTMENT OF PEDIATRICS HSC T-11",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948111",
            "telephone_number": "631-444-7992",
            "fax_number": "631-444-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENERI",
        "first_name": "CHRISTY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "232342-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christy.beneri@stonybrookmedicine.edu",
            "affiliation": "N",
            "address_1": "HSC SUNY Stony Brook",
            "address_2": "Department of Pediatrics HSC T-11",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117948111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.