Organization Active NPI

Benavides Foot & Ankle LTD Liability Co

  • Podiatrist
  • Hoboken, NJ
National Provider Identifier
1336076637
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BENAVIDES FOOT & ANKLE LTD LIABILITY CO
Practice address
200 Grand St
Hoboken, NJ 07030-8546
Phone
(845) 522-4072
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Erick Benavides, DPMNPI 1760185318
Title
Owner
Phone
(845) 522-4072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

200 Grand St
Hoboken, NJ 07030-8546

Mailing address

200 Grand St
Hoboken, NJ 07030-8546
Phone (845) 522-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260603000452 NJ Part B Supplier - Clinic/Group Practice 1254802093 Receives reassigned benefits from 1 practitioner
Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1336076637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308546",
            "telephone_number": "845-522-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308546",
            "telephone_number": "845-522-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENAVIDES FOOT & ANKLE LTD LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-522-4072",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.