Individual provider Active NPI

Jannine Benvenuto, M.D.

  • Diagnostic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1194827352
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08578600 Issued in NJ
Practice address
680 Broadway Ste 111
Paterson, NJ 07514-1526
Phone
(973) 977-6662
NPI assigned
Sep 1, 2006
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 218748 NY
Diagnostic Radiology Physician 2085R0202X 25MA08578600 NJ Primary

Addresses

Primary practice location

680 Broadway Ste 111
Paterson, NJ 07514-1526

Mailing address

31 Park Hill Ter
Princeton Junction, NJ 08550-1944

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150216001628 NJ Practitioner - Diagnostic Radiology 3375647639 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Touch Radiology, LLCGroup PAC ID 0749348696, 7 clinicians

Practice addresses (Care Compare)

680 Broadway
Suite 111
Paterson, NJ 07514-1526
Phone (908) 284-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08578600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Middletown Ventures Associates LLC CurrentSince Oct 16, 2020 Accepting new patients
Denville Diagnostics Imaging and Open MRI LLC CurrentSince Oct 5, 2020 Accepting new patients
Radiologic Associates of Northern New Jersey, PA CurrentSince Oct 5, 2020 Accepting new patients
University Physician Associates of New Jersey Inc Diagnostic Radiology Current Accepting new patients
Radiology Associates of Hackettstown LLC CurrentSince Sep 15, 2020 Accepting new patients
Newton Imaging P.a. CurrentSince Oct 5, 2020 Accepting new patients
Toms River Xray CT and MRI Center PA Diagnostic Radiology CurrentSince Mar 3, 2020 Accepting new patients
MRI Associates of Hackettstown LLC CurrentSince Oct 5, 2020 Accepting new patients
University Physician Associates of New Jersey, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Personal Touch Radiology, LLC Diagnostic Radiology CurrentSince Oct 5, 2020 Accepting new patients
West Orange Radiology, LLC CurrentSince Oct 23, 2020 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Dec 1, 2016 Accepting new patients
East Brunswick Open Upright MRI LLC CurrentSince Oct 16, 2020 Accepting new patients
Richard J Claps M.D. & Associates P.a. Diagnostic Radiology CurrentSince Sep 15, 2020 Accepting new patients
Open MRI Radiology LLC CurrentSince Oct 16, 2020 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 2, 2021 Accepting new patients
Womens Diagnostic Center, P.a. CurrentSince Oct 5, 2020 Accepting new patients
South Mountain Imaging Diagnostic Radiology PastSince Sep 15, 2020 Accepting new patients
Shore Road Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

975 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 778-8666

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

620 Cranbury Rd
Ste 10
East Brunswick, NJ 08816
Phone (732) 698-1717

657 Willow Grove St
Ste 205
Hackettstown, NJ 07840

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

530 Green St
Lowr
Iselin, NJ 08830
Phone (732) 326-1515

120 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-0900

95 Madison Ave
Ste B03
Morristown, NJ 07960
Phone (973) 285-1446

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

222 High St
Ste 101
Newton, NJ 07860
Phone (973) 383-1280

1275 State Route 35
North Middletown, NJ 07748
Phone (732) 275-0999

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

89 Sparta Ave
Ste 110
Sparta, NJ 07871
Phone (973) 726-0498

89 Sparta Ave
Ste 120
Sparta, NJ 07871
Phone (973) 726-0002

154 Route 37 W
Toms River, NJ 08755
Phone (732) 244-0777

601 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 238-0700

61 Main St
Ste A
West Orange, NJ 07052
Phone (973) 736-1680

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1194827352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PARK HILL TER",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY STE 111",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141526",
            "telephone_number": "973-977-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTO",
        "first_name": "JANNINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "218748",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08578600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.