Benedette Eyiuche Ibenegbu, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F337167-1 Issued in NY

Practice address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone

(718) 556-1708

NPI assigned

Jul 23, 2014

Last updated

Jul 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Prospect Heights Cardiology PLLCGroup PAC ID 3678868973, 5 clinicians

Sunrise Cardiovascular PLLCGroup PAC ID 4688969041, 4 clinicians

Belmont Comprehensive Medical Care PLLCGroup PAC ID 5698123115, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bibenegbu58943@northwell.direct-ci.com

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.

• Belmont Comprehensive Medical Care PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1043748585
  Medicare reassignment Care Compare group NPD
• Prospect Heights Cardiology PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1124473004
  Medicare reassignment Care Compare group NPD
• Sunrise Cardiovascular PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1316300403
  Medicare reassignment Care Compare group NPD (past)
• A&I Physicians PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1629213772
  Medicare reassignment NPD
• Health Shared Physicians, PLLC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1013576552
  Medicare reassignment NPD
• Aid Physician P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1285186312
  Medicare reassignment
• Ais Physician P.C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1043640220
  Medicare reassignment
• Lumina Medical Diagnostics PLLC

  • Internal Medicine Physician
  • Mineola, NY
  • NPI 1942125778
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1205244167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BLACKFORD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021617",
            "telephone_number": "718-556-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-556-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBENEGBU",
        "first_name": "BENEDETTE",
        "middle_name": "EYIUCHE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337167-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "526977-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurene Tricia Iammatteo, D.C.
• Nicole Rose Ianni, CCC-SLP
• Taylor Marie Iannicelli, PA-C
• Louis Nicholas Iannuzzi, PT
• Maira Ibarra Cruz
• John Ibiam, LCSW
• Aneesa Ible, LCSW
• Manzila Ibragimova
• Parvina Ibragimova, FNP
• Dina Ibrahim

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.