Benjamin Z Bennov MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BENJAMIN Z BENNOV MD PC

Practice address

9630 Bustleton Ave
Suite a
Philadelphia, PA 19115-3102

Phone

(215) 671-1484

Fax

(215) 671-1485

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Z Bennov, MDNPI 1083603104

Title

President

Phone

(215) 671-1484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Benjamin Z Bennov, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1083603104
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1366482192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 BUSTLETON AVE",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153102",
            "telephone_number": "215-671-1484",
            "fax_number": "215-671-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 BUSTLETON AVE",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153102",
            "telephone_number": "215-671-1484",
            "fax_number": "215-671-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN Z BENNOV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BENNOV",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-671-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017478320002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudy Benham
• Morgan Beninato, CRNP
• Dante Benincasa, DO
• Lois A Benishek, PHD
• Salvador Benitez, RN
• Betsy Benjamin, MD
• Charles David Benjamin, D.O.
• Crystal C Benjamin, M.D.
• Jay Harris Benjamin
• John Benjamin, M.D.

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.