Individual provider Active NPI

Benjamin Samuel Merel, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1295118099
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038812 Issued in NY
Practice address
2876 W 27TH St
Brooklyn, NY 11224-2812
Phone
(718) 265-2222
Fax
(718) 333-1023
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038812 NY Primary

Addresses

Primary practice location

2876 W 27TH St
Brooklyn, NY 11224-2812

Mailing address

2876 W 27TH St
Brooklyn, NY 11224-2812
Phone (718) 265-2222

Other identifiers 1

IdentifierTypeStateIssuer
038812OtherNYLICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Way Rehabilitation LLC Physical Therapist PastSince May 29, 2022 Accepting new patients
Women's Health Physical Therapy of Brooklyn, P.C. Physical Therapist PastSince Jun 1, 2015 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1295118099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 W 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242812",
            "telephone_number": "718-265-2222",
            "fax_number": "718-333-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 W 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242812",
            "telephone_number": "718-265-2222",
            "fax_number": "718-333-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREL",
        "first_name": "BENJAMIN",
        "middle_name": "SAMUEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.