NPIMap

Individual provider Active NPI

Ramoncito C Benito, DDS

  • Dentist
  • Rahway, NJ
National Provider Identifier
1255545596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102107100 Issued in NJ
Practice address
2293 St. Georges Ave.
Rahway, NJ 07065
Phone
(732) 822-8669
Fax
(732) 381-2997
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102107100 NJ Primary
Dentist 122300000X 048645-1 NY

Addresses

Primary practice location

2293 St. Georges Ave.
Rahway, NJ 07065

Mailing address

2293 St. Georges Ave.
Rahway, NJ 07065
Phone (732) 822-8669

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
22D102107100NJMDDentist
048645-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile 1St Dental Care Dentist Past Accepting new patients
Patient 1St Dental Care Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255545596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 ST. GEORGES AVE.",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-822-8669",
            "fax_number": "732-381-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 ST. GEORGES AVE.",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-822-8669",
            "fax_number": "732-381-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITO",
        "first_name": "RAMONCITO",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102107100",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048645-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.