Active NPI
Harvey Bennett, MD
- Neurology with Special Qualifications in Child Neurology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 25MA07909100
- Practice address
- 1 Park St
New Haven, CT 06504-8901 - Phone
- (203) 785-4081
- Fax
- (203) 737-7635
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 25MA07909100 | NJ | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 73087 | CT |
Addresses
Primary practice location
1 Park St
New Haven, CT 06504-8901
Mailing address
PO Box 23831
Newark, NJ 07189-0001
Phone (973) 971-7184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050711000585 | NJ | Practitioner - Neurology | 4284670613 | Reassigns benefits to 1 organization |
| I20230331001162 | NY | Practitioner - Neurology | 4284670613 | Reassigns benefits to 1 organization |
| I20240531000050 | CT | Practitioner - Neurology | 4284670613 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73087 | CT | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 25MA07909100 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Practice Associates,Inc | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| Specialty Care of Practice Associates,PA | Past | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130
11 Overlook Rd
Ste 230
Summit, NJ 07901
Phone (973) 971-4142
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1285609495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23831",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071890001",
"telephone_number": "973-971-7184",
"fax_number": "973-290-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081",
"fax_number": "203-737-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "HARVEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NJ",
"license": "25MA07909100",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CT",
"license": "73087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.