Individual provider Active NPI

Aida Gahan-Benson, RN

  • Administrator Registered Nurse
  • Oneida, NY
National Provider Identifier
1124411665
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
593728 Issued in NY
Practice address
2 Territory Rd
Oneida, NY 13421-9304
Phone
(315) 829-8701
Fax
(315) 829-8732
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 593728 NY Primary
Emergency Registered Nurse 163WE0003X 593728 NY

Addresses

Primary practice location

2 Territory Rd
Oneida, NY 13421-9304

Mailing address

2 Territory Rd
Oneida, NY 13421-9304
Phone (315) 829-8701

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
593728NYMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Indian Health Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1124411665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERRITORY RD",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134219304",
            "telephone_number": "315-829-8701",
            "fax_number": "315-829-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERRITORY RD",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134219304",
            "telephone_number": "315-829-8701",
            "fax_number": "315-829-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHAN-BENSON",
        "first_name": "AIDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "593728",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "593728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.