Individual provider Active NPI

Harry J. Benisatto, D.C.

  • Chiropractor
  • Port Washington, NY
National Provider Identifier
1043391162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-002622 Issued in NY
Practice address
20 Vanderventer Ave
# 100
Port Washington, NY 11050-3752
Phone
(516) 944-6936
Fax
(516) 944-9427
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-002622 NY Primary

Addresses

Primary practice location

20 Vanderventer Ave
# 100
Port Washington, NY 11050-3752

Mailing address

20E Vanderventer Avenue
# 100
Port Washington, NY 11050-3711
Phone (516) 944-6936

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002622NYMDMarriage & Family Therapist
X-002622NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043391162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20E VANDERVENTER AVENUE",
            "address_2": "# 100",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503711",
            "telephone_number": "516-944-6936",
            "fax_number": "516-944-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VANDERVENTER AVE",
            "address_2": "# 100",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503752",
            "telephone_number": "516-944-6936",
            "fax_number": "516-944-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISATTO",
        "first_name": "HARRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-002622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.