Igor Benenson M.D.,D.O.,P.C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

IGOR BENENSON M.D.,D.O.,P.C

Practice address

9892 Bustleton Ave
Suite 306
Philadelphia, PA 19115-2184

Phone

(215) 969-0300

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Igor L BenensonNPI 1134148042

Title

President

Phone

(215) 969-0300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor L Benenson, D.O., M.D., PH.D.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1134148042
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1497827414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-969-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-969-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR BENENSON M.D.,D.O.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "BENENSON",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-969-0300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE-GROUP",
            "identifier": "076601SK4",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009797730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilian Iglesias, MD
• Rodrigo Abraham Iglesias
• Steven Anthony Celleros Iglesias, MD
• Alexander Ignatenko, DO
• John Henry Ignatiev, MD
• Elena Igwe, M.D.
• Paula Igwe
• Chioma Linda Iheagwara, DO
• Diane Ihebom
• Chioma Modesta Ihejirika, CRNP

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.