Organization Active NPI

Asya Benin MD LLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1174781827
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASYA BENIN MD LLC
Practice address
2116 Avenue P
Brooklyn, NY 11229-1507
Phone
(718) 338-1616
Fax
(718) 338-1898
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Moustafa O Elsheshtawy
Title
Authorized Official
Phone
(718) 769-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2116 Avenue P
Brooklyn, NY 11229-1507

Mailing address

2116 Avenue P
Brooklyn, NY 11229-1507
Phone (718) 338-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000583 NY Part B Supplier - Clinic/Group Practice 8820143027 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1174781827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291507",
            "telephone_number": "718-338-1616",
            "fax_number": "718-338-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291507",
            "telephone_number": "718-338-1616",
            "fax_number": "718-338-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASYA BENIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "ELSHESHTAWY",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-769-4988"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.