Mervat Benjamin MD LLC

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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mervat Mansour, MDNPI 1053319962

Title

Owner

Phone

(718) 377-2834

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mervat B Mansour, M.D.

  • Nephrology Physician
  • East Brunswick, NJ
  • NPI 1053319962
  Authorized official Same address or phone

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": []
}

• Amalia Merson, MD
• Angelor Mertil, LCSW
• Eliezer Mertz, MS ED
• Kathleen Mertz, LCSW
• Brian Merusi, PA-C
• Glenda Mervil
• Evelyn Mervilus, RN
• Mery Gooden DPM P.C.
• Mery Max Dental PLLC
• Mes Diagnostics LLC

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• 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.