Active NPI
Benjamin Marx
- Music Therapist
- Kingston, NY
National Provider Identifier
1114703071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17655
- Practice address
- 85 Grand St
Kingston, NY 12401-3907 - Phone
- (347) 661-3000
- NPI assigned
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 17655 | NY | Primary |
Addresses
Primary practice location
85 Grand St
Kingston, NY 12401-3907
Mailing address
14 Pond Park Rd
Woodstock, NY 12498-1703
Phone (347) 661-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17655 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1114703071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 POND PARK RD",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124981703",
"telephone_number": "347-661-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GRAND ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013907",
"telephone_number": "347-661-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "17655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.