Benjamin Medrano, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

284877-1 Issued in NY

Practice address

1901 1St Ave
New York, NY 10029

Phone

(212) 423-8700

NPI assigned

May 8, 2014

Last updated

Feb 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Side Integrative Medicine PC

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
  • NPI 1659081461

  Single Specialty

  Medicare reassignment NPD Authorized official
• Metropolitan Medical Practice Plan PC

  • General Practice Physician
  • New York, NY
  • NPI 1306138383

  Single Specialty

  Medicare reassignment NPD
• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  Medicare reassignment
• 123 Serenity Therapy LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1871227173
  NPD
• Marpa Minds LLC

  • Adult Mental Health Clinic/Center
  • White Plains, NY
  • NPI 1134834773
  NPD (past)

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1215348594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297494",
            "telephone_number": "212-423-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Executive Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014170",
            "country_code": "US",
            "telephone_number": "914-222-0101",
            "fax_number": "914-521-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barker Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011523",
            "country_code": "US",
            "telephone_number": "914-222-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E 17th St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033804",
            "country_code": "US",
            "telephone_number": "212-420-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "284877-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iosif Mednik
• Dorothy Medoff
• Christella Medozile
• Medpharm Drug and Trading Inc
• Medpro Homecare Agency, Inc
• Christopher Medrano, MD
• Nicola Marie Medrano, PA-C
• Gabriela Medrek
• Medreview
• Medrite Medical Care

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.