Igor Beneditskiy, MD, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

237675 Issued in NY

Practice address

2646 E 14TH St Unit 1M
Brooklyn, NY 11235-3916

Phone

(718) 576-1212

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Ib Family Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1386832913

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1043396047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 MERMAID AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241234",
            "telephone_number": "718-576-1212",
            "fax_number": "718-332-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 E 14TH ST UNIT 1M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353916",
            "telephone_number": "718-576-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2797 Ocean Pkwy",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357870",
            "country_code": "US",
            "telephone_number": "718-576-1212",
            "fax_number": "718-332-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDITSKIY",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "237675",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02810406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Benedict
• Malka Benedict, SLP-CF
• Ramon Benedicto, MD
• Chava Goldie Benedikt
• Yechiel Benedikt, LCSW
• Jason Beneliyahu
• Christina Marie Benenati
• Uri Benenfeld
• Alexander Benenson, M.D., PH.D.
• Benevolent Home Care LLC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.