Active NPI
Michael Robert Bensch, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Colts Neck, NJ
National Provider Identifier
1447219555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1037564
- Practice address
- 710 B Tweady CT
Colts Neck, NJ 07722 - Phone
- (732) 866-2303
- NPI assigned
- Mar 20, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1037564 | GA | Primary |
Addresses
Primary practice location
710 B Tweady CT
Colts Neck, NJ 07722
Mailing address
7255 Miller Rd
Swartz Creek, MI 48473-1531
Phone (810) 635-9211
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1037564 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1447219555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 MILLER RD",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484731531",
"telephone_number": "810-635-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 B TWEADY CT",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "07722",
"telephone_number": "732-866-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSCH",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "1037564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colts Neck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.