Robert James Bencivenga, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

012125 Issued in NY

Practice address

27 Cedar Swamp Rd
Glen Cove, NY 11542-3728

Phone

(516) 277-1586

Fax

(516) 277-1587

NPI assigned

Feb 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Islandwide Chiropractic, P.C.

  • Chiropractor
  • Hempstead, NY
  • NPI 1154516979
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1376849604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CONNECTICUT AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CEDAR SWAMP RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423728",
            "telephone_number": "516-277-1586",
            "fax_number": "516-277-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIVENGA",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "012125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergei Belkin, MD
• Christine Bell, CAT
• Ralph Bellocco, PHARM.D.
• Vanessa Bellocco
• Inbar Ben Ami Behiri, MH COUNSELOR
• Benita Benjamin, DO
• Tavya Benjamin, M.D.
• David Berger, M.D.
• Besarta Berisha, N. P.
• Holly Berns, MD

• Sports Physician Chiropractor in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.