Edward H Benjamin MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

021127 Issued in CT

Legal business name

EDWARD H BENJAMIN MD PC

Practice address

115 Elm St
Suite 205
Enfield, CT 06082-3712

Phone

(860) 741-2531

Fax

(860) 745-7587

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edward Harris Benjamin, MD

Title

Doctor

Phone

(860) 741-2531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1194033977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELM ST",
            "address_2": "SUITE 205",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823712",
            "telephone_number": "860-741-2531",
            "fax_number": "860-745-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELM ST",
            "address_2": "SUITE 205",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823712",
            "telephone_number": "860-741-2531",
            "fax_number": "860-745-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H BENJAMIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "860-741-2531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "021127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl-Ruth Eben
• Echn Johnson Health Care, Inc.
• Echn Johnson Home and Community Health Service, Inc.
• Echn Johnson Home and Community Health Services, Inc.
• Echn Johnson Home and Community Health Services, Inc.
• Alexsis L Edwards
• Joshua Michael Edwards, PHD, LPC, LMHC, NCC
• Keri Lynn Egan
• Elizabeth Honey LMFT LLC
• Brooke Juliette Ellis, OTD, OTR/L

• Specialist in Enfield, CT
• Providers in Enfield, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.