Jeremiah Benoit MD, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

257382 Issued in NY

Legal business name

JEREMIAH BENOIT MD, PLLC

Practice address

5010 State Highway 30
Suite 201
Amsterdam, NY 12010-7532

Phone

(518) 842-7161

Fax

(518) 842-0797

NPI assigned

Nov 4, 2013

Organization subpart

No

Name

Dr. Jeremiah M Benoit, MD

Title

Owner

Phone

(518) 842-7161

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2013.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1023447646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 201",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-7161",
            "fax_number": "518-842-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "address_2": "SUITE 201",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-7161",
            "fax_number": "518-842-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH BENOIT MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-842-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "257382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James M. Charland, MD PC
• Ming Jaw
• Abigail Ruth Johnson, PA
• Theresa Marie Johnson, M.S.ED.
• Regina Jon-Nwakalo, NP
• Nicole Lynn Jones, DPT
• K.S.T. Management, LLC

• All providers in Amsterdam, NY
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.