Benjamin Telemaque, COTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

860322424 Issued in NY

Practice address

1630 E 15TH St
Brooklyn, NY 11229-1147

Phone

(718) 787-3214

NPI assigned

Oct 2, 2009

Last updated

Oct 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1386978716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLINTON AVE APT 11F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053433",
            "telephone_number": "718-974-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291147",
            "telephone_number": "718-787-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEMAQUE",
        "first_name": "BENJAMIN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "860322424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isayas Tekle Tekie, D.O
• Jowana Tekle, PHARMD
• Kibrom Hadera Teklehaimanot
• Estifanos Alem Teklemichael
• Donna-Maria Telemaque-Walrond
• Telemedicine Associates, P.C.
• Telept Services, LLC
• Andra C Telesford, RN
• Heather Telesford
• Jennifer Telesford

• Community Health Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.