Edward V Bennett Jr., MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

140950-1 Issued in NY

Practice address

50 New Scotland Ave # Mc192
Albany, NY 12208-3403

Phone

(518) 262-9777

Fax

(518) 262-9778

NPI assigned

Aug 9, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15298/brand/1/csg/1/fhir/r4

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.

• Albany Cardiothoracic Surgeons

  • Specialist
  • Albany, NY
  • NPI 1033159975
  NPD (past)
• St. Peter'S Health Partners Medical Associates, P.C.

  • Pediatrics Physician
  • Slingerlands, NY
  • NPI 1669717260
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1386645703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE # MC192",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-9777",
            "fax_number": "518-262-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE # MC192",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-9777",
            "fax_number": "518-262-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "EDWARD",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "140950-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00803627",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Steven Benison, DO
• Roxanna Benitez
• Jared Edward Benjamin
• Jamila Benmoussa, M.D.
• Deborah Bennett, RN
• John D. Bennett Jr., M.D.
• Kerry-Ann T Bennett, RMA
• Lisa Ann Bennett, LMSW
• Ryan Bennett, OTR
• Briana M. Benson, PA

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Albany, NY
• Providers in Albany, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.