Active NPI
Benestar Integrated Healthcare LLC
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1386534741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BENESTAR INTEGRATED HEALTHCARE LLC
- Practice address
- 2824 Cottman Ave Ste S17
Philadelphia, PA 19149-1400 - Phone
- (888) 573-5557
- Fax
- (888) 573-5557
- NPI assigned
- Jul 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raheel Siddiqui
- Title
- Manager
- Phone
- (856) 264-7024
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Health Service Psychologist | 103TH0100X | |||
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
2824 Cottman Ave Ste S17
Philadelphia, PA 19149-1400
Mailing address
124 Abbey Rd
Voorhees, NJ 08043-2005
Phone (888) 573-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1751932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1386534741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ABBEY RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432005",
"telephone_number": "888-573-5557",
"fax_number": "888-573-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 COTTMAN AVE STE S17",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491400",
"telephone_number": "888-573-5557",
"fax_number": "888-573-5557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENESTAR INTEGRATED HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-08",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "RAHEEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "856-264-7024"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.