David L Benisch, MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DAVID L BENISCH, MD PC

Practice address

124 Main St
Suite 16
Huntington, NY 11743-6922

Phone

(631) 423-7000

Fax

(631) 423-9276

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Lance Benisch, MD

Title

President

Phone

(631) 423-7000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1528233889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "address_2": "SUITE 16",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436922",
            "telephone_number": "631-423-7000",
            "fax_number": "631-423-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "address_2": "SUITE 16",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436922",
            "telephone_number": "631-423-7000",
            "fax_number": "631-423-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L BENISCH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BENISCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-423-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00425470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ria Dass
• Raymond Dattwyler, MD
• Jan Howard Dauer, MD
• Albert Dauro, MD
• David a Mayer
• Madelyn Davies
• Kimberly-Ann Davila
• Adam Ross Davis, D.O.
• Annie Davis, MSED
• Diana V Davis, RN

• Clinic/Center in Huntington, NY
• Providers in Huntington, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.