Liesel D Benjamin, MSN WHNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

F421563-01 Issued in NY

Practice address

87 Cerenzia Blvd
Elmont, NY 11003-3627

Phone

(585) 309-8708

NPI assigned

Dec 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1376312264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CERENZIA BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033627",
            "telephone_number": "585-309-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CERENZIA BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033627",
            "telephone_number": "585-309-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LIESEL",
        "middle_name": "D",
        "credential": "MSN WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NY",
            "license": "656781-01",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F421563-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Leela Beharry, PHARM.D.
• Eroro Belo-Osagie, RN
• Boaz Ben-Jacob
• Joseph Frank Benincasa, RPH
• Laura M Benincasa, RPH
• Rosalie Bennett, RN
• Shawnette Bennett
• Damian Anthony Benons, PT
• Teddy Bernard
• Sybille Bertrand

• Obstetrics & Gynecology Nurse Practitioner in Elmont, NY
• Providers in Elmont, NY by specialty
• Obstetrics & Gynecology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.