Individual provider Active NPI

Benjamin Annibali

  • Emergency Registered Nurse
  • Palmyra, PA
National Provider Identifier
1477460640
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
116359 Issued in PA
Practice address
633 E Elm St
Palmyra, PA 17078-3308
Phone
(717) 679-7490
NPI assigned
Aug 25, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 116359 PA Primary

Addresses

Primary practice location

633 E Elm St
Palmyra, PA 17078-3308

Mailing address

633 E Elm St
Palmyra, PA 17078-3308
Phone (717) 679-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1477460640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E ELM ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783308",
            "telephone_number": "717-679-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E ELM ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783308",
            "telephone_number": "717-679-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNIBALI",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PA",
            "license": "116359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.