Organization Active NPI

Mervat Benjamin MD LLC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1457424236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
220228 Issued in NY
Legal business name
MERVAT BENJAMIN MD LLC
Practice address
3131 Kings Hwy
Brooklyn, NY 11234-2644
Phone
(718) 377-2834
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mervat Mansour, MD
Title
Owner
Phone
(718) 377-2834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 220228 NY Primary

Addresses

Primary practice location

3131 Kings Hwy
Brooklyn, NY 11234-2644

Mailing address

26 Gates Ave
East Brunswick, NJ 08816-1220
Phone (718) 377-2834

National Provider Directory

National Provider Directory

Locations

2 Auer Ct
Ste 2
East Brunswick, NJ 08816
Phone (732) 846-6586

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457424236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GATES AVE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161220",
            "telephone_number": "718-377-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-377-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVAT BENJAMIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MERVAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-377-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "220228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.