Individual provider Active NPI

Rachel Machinas Beneski, O.D.

  • Optometrist
  • Ledgewood, NJ
National Provider Identifier
1184970402
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00641200 Issued in NJ
Practice address
410 State Route 10
Suite 202
Ledgewood, NJ 07852-9658
Phone
(973) 584-2020
Fax
(973) 584-4992
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00641200 NJ Primary
Optometrist 152W00000X TUV007865-1 NY

Addresses

Primary practice location

410 State Route 10
Suite 202
Ledgewood, NJ 07852-9658

Mailing address

410 State Route 10
Suite 202
Ledgewood, NJ 07852-9658
Phone (973) 584-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130726000085 NJ Practitioner - Optometry 2668613191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgedale Eye AssociatesGroup PAC ID 6709119506, 3 clinicians

Practice addresses (Care Compare)

256 Columbia Tpke
Suite 211
Florham Park, NJ 07932-1231
Phone (973) 301-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007865-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgedale Eye Associates Optometrist CurrentSince Feb 19, 2019 Accepting new patients
Advanced Eyecare Associates, LLC Optometrist PastSince Sep 21, 2015 Accepting new patients
Ridgedale Family Eye Care PC Optometrist Past Accepting new patients
Advanced Eyecare Professionals LLC Optometrist PastSince Jan 2, 2018 Accepting new patients

Locations

256 Columbia Tpke
Ste 211
Florham Park, NJ 07932
Phone (973) 301-0400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1184970402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 STATE ROUTE 10",
            "address_2": "SUITE 202",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529658",
            "telephone_number": "973-584-2020",
            "fax_number": "973-584-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 STATE ROUTE 10",
            "address_2": "SUITE 202",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529658",
            "telephone_number": "973-584-2020",
            "fax_number": "973-584-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESKI",
        "first_name": "RACHEL",
        "middle_name": "MACHINAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00641200",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007865-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledgewood, NJ

Sources for this page

Verify at the official NPI Registry.