Individual provider Active NPI

Benjamin Mann, PA-C

  • Physician Assistant
  • Ephrata, PA
National Provider Identifier
1083192942
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059972 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522-1724
Phone
(717) 721-8760
NPI assigned
Aug 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA004560 PA
Physician Assistant 363A00000X MA059972 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1724

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 721-8760

Other practice location 1

1625 Oregon Pike
Lancaster, PA 17601-4335
Phone (717) 925-2995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180925000383 PA Practitioner - Physician Assistant 9436400827 Reassigns benefits to 2 organizations
I20250805001566 NY Practitioner - Physician Assistant 9436400827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 Montague St
Brooklyn, NY 11201-3504
Phone (646) 346-7918

228 - 230 Court St
Brooklyn, NY 11201-6405
Phone (718) 280-5362

256 Utica Ave
Brooklyn, NY 11213-4029
Phone (718) 571-9355

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

457 Atlantic Ave
Brooklyn, NY 11217-2107
Phone (718) 530-1144

461 Fulton St
Brooklyn, NY 11201-5207
Phone (718) 571-9418

795 Manhattan Ave
Brooklyn, NY 11222-2710
Phone (718) 789-3549

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059972PAMDPhysician Assistant
OA004560PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Apr 3, 2023 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Oct 2, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 3, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 7, 2025 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Oct 2, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 7, 2025 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Current Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

1625 Oregon Pike
Lancaster, PA 17601
Phone (717) 925-2995

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: benjamin.mann.1@2983.direct.athenahealth.com
  • Direct secure messaging: paexchange@patientfirstclinics.com

Organizations & group practices 10

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1083192942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-721-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-721-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014335",
            "country_code": "US",
            "telephone_number": "717-925-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "BENJAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004560",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1625 Oregon Pike",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176014335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.