Active NPI
Benjamin Stanley, AUD
- Audiologist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 002771
- Practice address
- 260 N Little Tor Rd
New City, NY 10956-2627 - Phone
- (845) 999-3060
- NPI assigned
- Oct 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002771 | NY | Primary |
Addresses
Primary practice location
260 N Little Tor Rd
New City, NY 10956-2627
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100
Other practice location 1
2 Fletcher St
Goshen, NY 10924-1402
Phone (845) 294-8806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04952085 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002771 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Family Healthcare | Current | Accepting new patients | |
| Cornerstone Family Healthcare | Current | Accepting new patients |
Locations
2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100
2 Fletcher St
Goshen, NY 10924
Phone (845) 294-7300
260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648
147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGCECD
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1689669079
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1114757515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1396256715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W STE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181370",
"telephone_number": "845-220-3100",
"fax_number": "845-534-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562627",
"telephone_number": "845-999-3060"
}
],
"practiceLocations": [
{
"address_1": "2 Fletcher St",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "NY",
"postal_code": "109241402",
"country_code": "US",
"telephone_number": "845-294-8806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANLEY",
"first_name": "BENJAMIN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-12",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04952085",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.