Individual provider Active NPI

Rossana Di Benedetto, RN BSN MS

  • Registered Nurse
  • Flushing, NY
National Provider Identifier
1104004589
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
324465-1 Issued in NY
Practice address
3018 148TH St
Flushing, NY 11354-2424
Phone
(917) 853-7319
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 324465-1 NY Primary

Addresses

Primary practice location

3018 148TH St
Flushing, NY 11354-2424

Mailing address

21050 41St Ave
1G
Bayside, NY 11361-1965
Phone (718) 225-5339

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
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
324465-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1104004589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 41ST AVE",
            "address_2": "1G",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611965",
            "telephone_number": "718-225-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 148TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542424",
            "telephone_number": "917-853-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI BENEDETTO",
        "first_name": "ROSSANA",
        "name_prefix": "Ms.",
        "credential": "RN BSN MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "324465-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.