Individual provider Active NPI

Marc Bensimon, D.D.S.

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1134290216
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038183 Issued in NY
Practice address
11109 76TH Rd
Suite a-5
Forest Hills, NY 11375-6424
Phone
(718) 268-3222
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038183 NY Primary

Addresses

Primary practice location

11109 76TH Rd
Suite a-5
Forest Hills, NY 11375-6424

Mailing address

201 Eastern Pkwy
Suite 2-a
Brooklyn, NY 11238-6141
Phone (718) 636-5666

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134290216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EASTERN PKWY",
            "address_2": "SUITE 2-A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386141",
            "telephone_number": "718-636-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 76TH RD",
            "address_2": "SUITE A-5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756424",
            "telephone_number": "718-268-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSIMON",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.