Philip E Benanti, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

094093 Issued in NY

Practice address

65 Wilmington Dr
Melville, NY 11747-4032

Phone

(516) 428-8029

Fax

(718) 996-5338

NPI assigned

Oct 6, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1407943707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WILMINGTON DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474032",
            "telephone_number": "516-428-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WILMINGTON DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474032",
            "telephone_number": "516-428-8029",
            "fax_number": "718-996-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENANTI",
        "first_name": "PHILIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "094093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behrouz Farahmandpour D.O.P.C.
• Malika Belfor, RN
• Amy Bell
• Norell Sade Belle
• Lyonel David Belony Jr., PHARMACIST
• Nathalia Benavides
• Tiffany Bender
• Saliha Benidjer
• Noa Benjo Vassallo, MS, CDN
• Sarahlee Bennett

• Adult Medicine Physician in Melville, NY
• Providers in Melville, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.