Benjamin Bentley Faitelson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10863 Issued in NH

Practice address

6 Tsienneto Rd Ste 100LL
Derry, NH 03038-1584

Phone

(603) 883-4636

Fax

(603) 883-6854

NPI assigned

Jan 5, 2006

Last updated

Mar 28, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Radiologist,PAGroup PAC ID 7517901143, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Associated Radiologist,PA

  • Diagnostic Radiology Physician
  • Derry, NH
  • NPI 1457310765
  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  Medicare reassignment NPD
• New England Molecular Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dover, NH
  • NPI 1477358372
  NPD
• New England Molecular Imaging LLC

  • Mobile Radiology Clinic/Center
  • Raymond, NH
  • NPI 1508497413
  NPD
• New England Molecular Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Londonderry, NH
  • NPI 1598538068
  NPD
• New England Molecular Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Raymond, NH
  • NPI 1619645561
  NPD
• New England Molecular Imaging, LLC

  • Mobile Radiology Clinic/Center
  • Concord, NH
  • NPI 1245933894
  NPD
• New England Molecular Imaging, LLC

  • Radiology Clinic/Center
  • Derry, NH
  • NPI 1275569782
  NPD
• Midwest Radiological Associates PC

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1821013418
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1407834989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAWTHORNE VILLAGE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622277",
            "telephone_number": "603-888-4664",
            "fax_number": "603-888-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 100LL",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-883-4636",
            "fax_number": "603-883-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAITELSON",
        "first_name": "BENJAMIN",
        "middle_name": "BENTLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "10863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001601",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Epelbaum, MD
• Sonia Marie Escabi
• Lillian E Eterian, DC
• Everest Services LLC
• Eye Care Associates of Derry PC (Opticare Eye Center)
• Jessica Farrell, LCMHC
• Nancy Farrell
• Lyndey Earline Ferguson
• Stephanie Ferreira
• Chtistine Finster

• Diagnostic Radiology Physician in Derry, NH
• Providers in Derry, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.