Individual provider Active NPI

Benton James Jendrejeski, LMT

  • Massage Therapist
  • New Windsor, NY
National Provider Identifier
1417823345
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
033463 Issued in NY
Practice address
214 Mac Arthur Ave
New Windsor, NY 12553-7011
Phone
(845) 629-3757
NPI assigned
Oct 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 033463 NY Primary

Addresses

Primary practice location

214 Mac Arthur Ave
New Windsor, NY 12553-7011

Mailing address

18 Osprey Hill Dr
Newburgh, NY 12550-1337
Phone (845) 764-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FMT New Windsor LLC Massage Therapist CurrentSince Oct 21, 2025 Accepting new patients

Locations

214 Mac Arthur Ave
New Windsor, NY 12553
Phone (845) 629-3757

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1417823345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OSPREY HILL DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501337",
            "telephone_number": "845-764-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAC ARTHUR AVE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537011",
            "telephone_number": "845-629-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDREJESKI",
        "first_name": "BENTON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "033463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.