Active NPI
Julia Noelle Bencko
- Specialist
- New Hyde Park, NY
National Provider Identifier
1134849375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1643429221
- Practice address
- 2341 New Hyde Park Rd
New Hyde Park, NY 11042-1212 - Phone
- (516) 806-5710
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1643429221 | NY | Primary |
Addresses
Primary practice location
2341 New Hyde Park Rd
New Hyde Park, NY 11042-1212
Mailing address
91 Tulip Ave Apt CB1
Floral Park, NY 11001-1977
Phone (440) 591-9207
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 |
|---|---|---|---|
| 1643429221 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1134849375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 TULIP AVE APT CB1",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011977",
"telephone_number": "440-591-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 NEW HYDE PARK RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421212",
"telephone_number": "516-806-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCKO",
"first_name": "JULIA",
"middle_name": "NOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1643429221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.