Individual provider Active NPI

Ron Benjamin, D.O.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1235564337
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
297224 Issued in NY
Practice address
325 W 21St St Apt 9
New York, NY 10011-3044
Phone
(614) 638-3278
NPI assigned
Sep 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 297224 NY Primary

Addresses

Primary practice location

325 W 21St St Apt 9
New York, NY 10011-3044

Mailing address

325 W 21St St Apt 9
New York, NY 10011-3044
Phone (614) 638-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20190205002158 NY Practitioner - Diagnostic Radiology 1557580917 Reassigns benefits to 10 organizations
I20260206003640 NJ Practitioner - Diagnostic Radiology 1557580917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
Main Street Radiology at Bayside LLCGroup PAC ID 5395732671, 56 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians

Practice addresses (Care Compare)

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

4401 Francis Lewis Blvd
Bayside, NY 11361-3028
Phone (718) 428-1500

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297224NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Columbia/Newyork-Presbyterian Advanced Imaging Inc. CurrentSince Nov 23, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Jan 8, 2024 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Feb 15, 2019 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Jan 8, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Nov 3, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

5 Columbus Cir
Ste 9
New York, NY 10019
Phone (212) 590-5500

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

722 W 168th St
New York, NY 10032
Phone (212) 305-6754

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666

630 W 168th St
#28
New York, NY 10032
Phone (212) 305-1948

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

5505 Myrtle Ave
#2
Ridgewood, NY 11385
Phone (646) 535-2936

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1235564337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 21ST ST APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113044",
            "telephone_number": "614-638-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 21ST ST APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113044",
            "telephone_number": "614-638-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "RON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "297224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.