Individual provider Active NPI

Jacqueline Simha Benayoun, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1467031153
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME167786 Issued in FL
Practice address
432 Bedford Ave
Brooklyn, NY 11249-6588
Phone
(718) 387-2408
Fax
(718) 387-9222
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME167786 FL Primary

Addresses

Primary practice location

432 Bedford Ave
Brooklyn, NY 11249-6588

Mailing address

432 Bedford Ave
Brooklyn, NY 11249-6588
Phone (718) 387-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003002820 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4284130683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME167786FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics PastSince Jun 1, 2024 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1467031153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-387-2408",
            "fax_number": "718-387-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496588",
            "telephone_number": "718-387-2408",
            "fax_number": "718-387-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAYOUN",
        "first_name": "JACQUELINE",
        "middle_name": "SIMHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME167786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.