Active NPI
Marie Benjamin
- Health & Wellness Coach
- South Plainfield, NJ
National Provider Identifier
1124753157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 125 Front St
South Plainfield, NJ 07080-3401 - Phone
- (908) 202-9046
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
125 Front St
South Plainfield, NJ 07080-3401
Mailing address
125 Front St
South Plainfield, NJ 07080-3401
Phone (908) 202-9046
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marie@themindandbodymovement.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind and Body Movement | Health & Wellness Coach | Current | Accepting new patients |
Locations
125 Front St
South Plainfield, NJ 07080
Phone (908) 202-9046
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.
-
- Health & Wellness Coach
- South Plainfield, NJ
- NPI 1093468530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1124753157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 FRONT ST",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070803401",
"telephone_number": "908-202-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 FRONT ST",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070803401",
"telephone_number": "908-202-9046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marie@themindandbodymovement.com",
"affiliation": "N",
"endpointDescription": "marie@themindandbodymovement.com",
"address_1": "125 Front St",
"city": "South Plainfield",
"state": "NJ",
"country_code": "US",
"postal_code": "070803401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.