Brian Benson MD LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA08215300 Issued in NJ

Legal business name

BRIAN BENSON MD LLC

Practice address

20 Prospect Ave
Suite 907
Hackensack, NJ 07601-1997

Phone

(201) 996-2750

Fax

(201) 489-6530

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Linda Siculietano

Title

Office MGR

Phone

(201) 489-6520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Eric Benson, M.D.

  • Otolaryngology Physician
  • Hackensack, NJ
  • NPI 1336312420
  Medicare reassignment NPD
• Corina Din-Lovinescu

  • Otolaryngology Physician
  • Shrewsbury, NJ
  • NPI 1215391222
  Medicare reassignment NPD
• Jamie Weiner, AU.D.

  • Audiologist
  • Hackensack, NJ
  • NPI 1770966574
  Medicare reassignment NPD

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1134472343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 907",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2750",
            "fax_number": "201-489-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 907",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2750",
            "fax_number": "201-489-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BENSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "SICULIETANO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "201-489-6520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA08215300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Brenner, M.D.
• Samantha K. Brenner, M.D., M.P.H.
• Eric Robert Bresemann, PT
• Nancy Brey, MSN, CNS.C
• Anita Briamonte
• Angelica Maria Briggs, LPC
• Sarah Brink, M.D.
• Anna Broder, MD
• Tara Kimberly Broderick, DMD
• Joie Michelle Brody, O.D.

• Otolaryngology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.