Individual provider Active NPI

Maria Judith Behanna

  • Specialist
  • Scarsdale, NY
National Provider Identifier
1235615675
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
300807 Issued in NY
Practice address
155 Garth Rd Apt 3a
Scarsdale, NY 10583-3881
Phone
(914) 486-1492
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 300807 NY Primary

Addresses

Primary practice location

155 Garth Rd Apt 3a
Scarsdale, NY 10583-3881

Mailing address

155 Garth Rd Apt 3a
Scarsdale, NY 10583-3881
Phone (914) 486-1492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
300807NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1235615675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARTH RD APT 3A",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833881",
            "telephone_number": "914-486-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GARTH RD APT 3A",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833881",
            "telephone_number": "914-486-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHANNA",
        "first_name": "MARIA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "300807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.