Stephen J. Bennett, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

143786 Issued in NY

Practice address

1339 York Ave
New York, NY 10021-4707

Phone

(212) 628-2800

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mary Manning Walsh Nursing Home Co Inc

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1710966379
  NPD (past)
• Ravindra Rajmane MD PLLC

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1265572341
  NPD (past)
• Weill Medical College of Cornell

  dba Cornell Internal Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1932127743
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1518096825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 W 10TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146422",
            "telephone_number": "212-645-0970",
            "fax_number": "212-627-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214707",
            "telephone_number": "212-628-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "143786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01081034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Erin Bennett, MHC-LP
• Revan Bennett
• Samantha Bennett, RN
• Shannon Marie Bennett, PH.D.
• Stephen J Bennett, DPM
• Tristan Bennett, LMSW
• Wayne C. Bennett, LCSW
• William Bennett
• Jennifer Bennion, IBCLC
• Lauren Ashley Bennis, LMHC

• Pulmonary Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.