Individual provider Active NPI

Ben M Taylor, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Brooklyn, NY
National Provider Identifier
1366608622
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
249794-1 Issued in NY
Practice address
217 6TH Ave
Brooklyn, NY 11215-1486
Phone
(347) 513-6366
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 249794-1 NY Primary

Addresses

Primary practice location

217 6TH Ave
Brooklyn, NY 11215-1486

Mailing address

217 6TH Ave
Brooklyn, NY 11215-1486
Phone (347) 513-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 6TH Ave
Brooklyn, NY 11215-1486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
249794-1NYMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1366608622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151486",
            "telephone_number": "347-513-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151486",
            "telephone_number": "347-513-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "249794-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.