Active NPI
Peter Allerton Benedict, MD
- Otolaryngology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 330719
- Practice address
- 1 Teleport Dr Ste 200
Staten Island, NY 10311-1000 - Phone
- (718) 370-0072
- Fax
- (718) 370-6733
- NPI assigned
- Apr 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 330719 | NY | Primary |
| Otolaryngology Physician | 207Y00000X | MD480474 | PA |
Addresses
Primary practice location
1 Teleport Dr Ste 200
Staten Island, NY 10311-1000
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727001811 | PA | Practitioner - Otolaryngology | 5294075941 | Reassigns benefits to 1 organization |
| I20240907000114 | NY | Practitioner - Otolaryngology | 5294075941 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy Associates LLP
Practice addresses (Care Compare)
1 Teleport Dr
Suite 200
Staten Island, NY 10311-1000
Phone (718) 370-0072
Hospital & facility affiliations
- Richmond University Medical Center
- Staten Island University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330719 | NY | MD | Otolaryngology Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Otolaryngology | Current | Accepting new patients |
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
Locations
1 Teleport Dr
Ste 200
Staten Island, NY 10311
Phone (718) 370-0072
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500
3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- peter.benedict@direct.entandallergy.nextgenshare.com
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NY, Otolaryngology
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Otolaryngology, PA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1326536285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD STE 400",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915107",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TELEPORT DR STE 200",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103111000",
"telephone_number": "718-370-0072",
"fax_number": "718-370-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "PETER",
"middle_name": "ALLERTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "330719",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD480474",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.