Individual provider Active NPI

June Joya Benjamin, CRNP

  • Family Nurse Practitioner
  • Reading, PA
National Provider Identifier
1093323909
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022035 Issued in PA
Practice address
1040 Liggett Ave
Reading, PA 19611-1801
Phone
(484) 220-2955
Fax
(610) 775-3050
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022035 PA Primary

Addresses

Primary practice location

1040 Liggett Ave
Reading, PA 19611-1801

Mailing address

1040 Liggett Ave
Reading, PA 19611-1801
Phone (484) 220-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201130000901 PA Practitioner - Nurse Practitioner 1456762202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022035PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince Nov 12, 2020 Accepting new patients
Berks Community Health Center CurrentSince Nov 12, 2020 Accepting new patients

Locations

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

1040 Liggett Ave
Reading, PA 19611
Phone (610) 775-1431

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1093323909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LIGGETT AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196111801",
            "telephone_number": "484-220-2955",
            "fax_number": "610-775-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LIGGETT AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196111801",
            "telephone_number": "484-220-2955",
            "fax_number": "610-775-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "JUNE",
        "middle_name": "JOYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.