Individual provider Active NPI

Gary John Benedict, MA, CSCS

  • Clinical Exercise Physiologist
  • Hillsborough, NJ
National Provider Identifier
1154909760
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
331 Route 206
Hillsborough, NJ 08844-4781
Phone
(908) 685-2453
Fax
(908) 595-2605
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X Primary

Addresses

Primary practice location

331 Route 206
Hillsborough, NJ 08844-4781

Mailing address

331 Route 206
Hillsborough, NJ 08844-4781
Phone (908) 685-2453

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL gary.benedict@rwjbh.org Direct
CONNECT URL gary.benedict@rwjbh.org Direct

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1154909760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444781",
            "telephone_number": "908-685-2453",
            "fax_number": "908-595-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ROUTE 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444781",
            "telephone_number": "908-685-2453",
            "fax_number": "908-595-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MA, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gary.benedict@rwjbh.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "331 Route 206",
            "city": "Hillsborough",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088444781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gary.benedict@rwjbh.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "331 Route 206",
            "city": "Hillsborough",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088444781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.