Active NPI
George William Benninger, MD
- Internal Medicine Physician
- Montrose, NY
National Provider Identifier
1285669598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 99425
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506001602 | NY | Order and Referring Only - Internal Medicine | 6305020991 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99425 | NY | MD | Internal 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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.