Individual provider Active NPI

Frank Benedetto, PT, DPT, OCS, SCS

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1538315643
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01285700 Issued in NJ
Practice address
465 Boulevard
Building E
Elmwood Park, NJ 07407-2039
Phone
(201) 538-7131
NPI assigned
Aug 8, 2008
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01285700 NJ Primary

Addresses

Primary practice location

465 Boulevard
Building E
Elmwood Park, NJ 07407-2039

Mailing address

637 Wyckoff Ave
Unit 361
Wyckoff, NJ 07481-1438
Phone (201) 538-7131

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Orthopedic Physical Therapy Past Accepting new patients
Wayne Foot and Ankle Center,PA Past Accepting new patients

Organizations & group practices 2

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1538315643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE",
            "address_2": "UNIT 361",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811438",
            "telephone_number": "201-538-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BOULEVARD",
            "address_2": "BUILDING E",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072039",
            "telephone_number": "201-538-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01285700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.