Active NPI
Benton James Jendrejeski, LMT
- Massage Therapist
- New Windsor, NY
National Provider Identifier
1417823345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 033463
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMT New Windsor LLC | Massage Therapist | Current | 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.
-
- Massage Therapist
- New Windsor, NY
- NPI 1184447062
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.