Individual provider Active NPI

Benjamin Russell Denenberg, D.P.M.

  • Podiatrist
  • Newark, DE
National Provider Identifier
1154552115
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000214 Issued in DE
Practice address
4051 Ogletown Rd Ste 102
Newark, DE 19713-3101
Phone
(302) 731-2888
Fax
(302) 731-7049
NPI assigned
Aug 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1-0000214 DE Primary

Addresses

Primary practice location

4051 Ogletown Rd Ste 102
Newark, DE 19713-3101

Mailing address

211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000054 DE Practitioner - Podiatry 4789831256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services Inc 1,480 clinicians
First State Orthopaedics PA 97 clinicians

Practice addresses (Care Compare)

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 428-4413

77 Milford Neck Rd
Suite 101
Milford, DE 19963-6700
Phone (302) 731-2888

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Center for Rehabilitation at Wilmington Hospital Inpatient rehabilitation facility, Wilmington, DE, CCN 08T001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue151
Removal of skin lesions1-10
Removal of nail tissue986
Removal or shaving of skin growth891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0000214DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Podiatrist CurrentSince Dec 1, 2014 Accepting new patients
First State Orthopaedics PA Podiatrist CurrentSince Jun 1, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 1, 2014 Accepting new patients
First State Orthopaedics PA CurrentSince Jun 1, 2022 Accepting new patients
First State Orthopaedics, PA Podiatrist Past Accepting new patients

Locations

601 Tower Ln
Ste 201
Middletown, DE 19709

77 Milford Neck Rd
Ste 101
Milford, DE 19963
Phone (302) 215-0313

620 Stanton Christiana Rd
Ste 303
Newark, DE 19713
Phone (302) 999-8511

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800

1401 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 478-5500

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • Direct secure messaging: benjamin.denenberg@ncaip-de.direct.office.nextgen.com
  • Direct secure messaging: benjamin.denenbergdpm.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1154552115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 OGLETOWN RD STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133101",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENENBERG",
        "first_name": "BENJAMIN",
        "middle_name": "RUSSELL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.