Individual provider Active NPI

George William Benninger, MD

  • Internal Medicine Physician
  • Montrose, NY
National Provider Identifier
1285669598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
99425 Issued in NY
Practice address
2094 Albony Post Rd
Hudson Valley VD Health Care System
Montrose, NY 10548
Phone
(914) 737-4400
Fax
(914) 788-4320
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 99425 NY Primary

Addresses

Primary practice location

2094 Albony Post Rd
Hudson Valley VD Health Care System
Montrose, NY 10548

Mailing address

5 Greiner Rd
Newburgh, NY 12550-8000
Phone (845) 565-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001602 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6305020991

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99425NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285669598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREINER RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508000",
            "telephone_number": "845-565-9314",
            "fax_number": "845-565-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBONY POST RD",
            "address_2": "HUDSON VALLEY VD HEALTH CARE SYSTEM",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGER",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "99425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.