Individual provider Active NPI

Carlos W Benito, MD

  • Maternal & Fetal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1487610952
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MA57433 Issued in NJ
Practice address
1944 State Route 33
Medical Arts Building Suite 203
Neptune, NJ 07753-4862
Phone
(732) 776-4755
Fax
(732) 776-4754
NPI assigned
Apr 25, 2006
Last updated
May 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MA57433 NJ Primary

Addresses

Primary practice location

1944 State Route 33
Medical Arts Building Suite 203
Neptune, NJ 07753-4862

Mailing address

1944 State Route 33
Medical Arts Building Suite 203
Neptune, NJ 07753-4862
Phone (732) 776-4755

Other identifiers 1

IdentifierTypeStateIssuer
6356800MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040429000302 NJ Practitioner - Obstetrics/Gynecology 0345237558 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA57433NJMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince Apr 15, 2019 Accepting new patients
Saint Peter's University Hospital CurrentSince Apr 15, 2019 Accepting new patients
Saint Peter's Specialty Physicians, P.C. Maternal & Fetal Medicine CurrentSince Feb 15, 2020 Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Meridian Obstetrics and Gynecology Associates P C Past Accepting new patients
Practice Associates,Inc Past Accepting new patients
Ahs Hospital Corp PastSince Feb 13, 2024 Accepting new patients

Locations

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

300 Overlook Dr
Monroe Township, NJ 08831
Phone (609) 409-1363

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1487610952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33",
            "address_2": "MEDICAL ARTS BUILDING SUITE 203",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-776-4755",
            "fax_number": "732-776-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33",
            "address_2": "MEDICAL ARTS BUILDING SUITE 203",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-776-4755",
            "fax_number": "732-776-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITO",
        "first_name": "CARLOS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "MA57433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6356800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.