NPIMap

Individual provider Active NPI

Marie A Bentsianov, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1285631101
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
210753 Issued in NY
Practice address
40 W Brighton Ave
Suite 103
Brooklyn, NY 11224-4901
Phone
(718) 743-0464
Fax
(718) 996-1123
NPI assigned
Jul 7, 2005
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210753 NY
Nephrology Physician 207RN0300X 210753 NY Primary

Addresses

Primary practice location

40 W Brighton Ave
Suite 103
Brooklyn, NY 11224-4901

Mailing address

40 W Brighton Ave
Suite 103
Brooklyn, NY 11224-4901
Phone (718) 743-0464

Other identifiers 3

IdentifierTypeStateIssuer
P2908147OtherNYOXFORD
3399506OtherNYGHI
02359704MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217001048 NY Practitioner - Nephrology 9133026081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Renal Care PCGroup PAC ID 2668379512, 2 clinicians

Practice addresses (Care Compare)

40 W Brighton Ave
Suite 103
Brooklyn, NY 11224-4901
Phone (718) 743-0464

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210753NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Halper Medical Services PC Internal Medicine CurrentSince Jun 23, 2003 Accepting new patients
Ocean Renal Care PC Nephrology CurrentSince Jul 7, 2003 Accepting new patients
Elina Atlas Past Accepting new patients

Locations

40 W Brighton Ave
Ste 103
Brooklyn, NY 11224
Phone (718) 743-0464

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mab9151@direct.nyp.org
  • Direct secure messaging: mariebentsianov@mai.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1285631101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-743-0464",
            "fax_number": "718-996-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-743-0464",
            "fax_number": "718-996-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTSIANOV",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210753",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "210753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2908147",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3399506",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02359704",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.