Active NPI
Joseph P Bentivegna, MSN,APN,C,CEN
- Acute Care Nurse Practitioner
- Chester, PA
National Provider Identifier
1114047792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP008899
- Practice address
- 1 Medical Center Blvd
Acp # 233
Chester, PA 19013-3902 - Phone
- (610) 447-7605
- Fax
- (610) 447-6088
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00110200 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | SP008899 | PA | Primary |
| Registered Nurse | 163W00000X | RN569452 | PA | |
| Registered Nurse | 163W00000X | 26NO12037000 | NJ |
Addresses
Primary practice location
1 Medical Center Blvd
Acp # 233
Chester, PA 19013-3902
Mailing address
1 Medical Center Blvd
Acp # 233
Chester, PA 19013-3902
Phone (610) 447-7605
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO12037000 | NJ | MD | Registered Nurse |
| RN569452 | PA | MD | Registered Nurse |
| 26NJ00110200 | NJ | MD | Acute Care Nurse Practitioner |
| SP008899 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1114047792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "ACP # 233",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-447-7605",
"fax_number": "610-447-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"address_2": "ACP # 233",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "610-447-7605",
"fax_number": "610-447-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTIVEGNA",
"first_name": "JOSEPH",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "MSN,APN,C,CEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00110200",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP008899",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN569452",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO12037000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.