Individual provider Active NPI

Israel Doyle Benjamin, DO

  • Obstetrics & Gynecology Physician
  • Cherry Hill, NJ
National Provider Identifier
1215591540
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB11980600 Issued in NJ
Practice address
1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013
Phone
(856) 795-0587
Fax
(856) 795-0689
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB11980600 NJ Primary

Addresses

Primary practice location

1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013

Mailing address

1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013
Phone (856) 795-0587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230918001062 NJ Practitioner - Obstetrics/Gynecology 7517321003 Reassigns benefits to 1 organization
I20230918001307 PA Practitioner - Obstetrics/Gynecology 7517321003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 845-6880

800 Walnut St FL
12 OB/GYN Wash SQ 12TH
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Oct 25, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Oct 25, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Oct 25, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey PC CurrentSince Oct 25, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Obstetrics & Gynecology Past Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

5000 Dearborn Cir
Ste 100B
Mount Laurel, NJ 08054
Phone (215) 662-9563

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

800 Walnut St
Fl 12
Philadelphia, PA 19107

800 Walnut St
Fl 15
Philadelphia, PA 19107

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1215591540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-795-0587",
            "fax_number": "856-795-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-795-0587",
            "fax_number": "856-795-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ISRAEL",
        "middle_name": "DOYLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB11980600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.