Individual provider Active NPI

Caroline Emmie Bennani, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1326611609
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
462 1St Ave
New York, NY 10016-9196
Phone
(212) 562-4141
NPI assigned
Jul 23, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

462 1St Ave
New York, NY 10016-9196

Mailing address

40 Roosevelt Rd
Plymouth, MA 02360-4925
Phone (508) 524-0449

Other practice location 1

51 W 51st St Ste 301
New York, NY 10019-6113
Phone (212) 326-8874

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000498 NY Practitioner - Physician Assistant 0446648125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Aug 27, 2021 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 27, 2021 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging PastSince Jan 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York PastSince May 2, 2016 Accepting new patients

Locations

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

50 Water St
Fl 3
New York, NY 10004

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

Interoperability endpoints

  • Direct secure messaging: csheehan1781622@nychhc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1326611609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROOSEVELT RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604925",
            "telephone_number": "508-524-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 W 51st St Ste 301",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100196113",
            "country_code": "US",
            "telephone_number": "212-326-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNANI",
        "first_name": "CAROLINE",
        "middle_name": "EMMIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.