Individual provider Active NPI

Michelle Lee Bennett, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1033185756
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
290297-1 Issued in NY
Practice address
82 Nassau St # 60518
New York, NY 10038-3703
Phone
(917) 746-2455
Fax
(917) 746-9649
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 290297-1 NY Primary

Addresses

Primary practice location

82 Nassau St # 60518
New York, NY 10038-3703

Mailing address

82 Nassau St # 60518
New York, NY 10038-3703
Phone (917) 746-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290297-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuheights Pediatrics Adolescent Medicine PastSince Aug 1, 2020 Accepting new patients
Elliston Health, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mbennet@nuheightspeds.opdirect.net
  • Direct secure messaging: michelle.bennett.1@25629.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25629/brand/1/csg/1/fhir/r4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1033185756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NASSAU ST # 60518",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383703",
            "telephone_number": "917-746-2455",
            "fax_number": "917-746-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NASSAU ST # 60518",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383703",
            "telephone_number": "917-746-2455",
            "fax_number": "917-746-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "290297-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.