Individual provider Active NPI

Benjamin G Fogelman, D.O.

  • Anesthesiology Physician
  • Suffern, NY
National Provider Identifier
1578599544
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
237710-1 Issued in NY
Practice address
100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone
(845) 357-5775
Fax
(845) 357-8263
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 237710-1 NY Primary

Addresses

Primary practice location

100 Route 59
Suite 105
Suffern, NY 10901-4927

Mailing address

100 Route 59 Ste 111
Suffern, NY 10901-5620
Phone (845) 357-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061025000738 NY Practitioner - Anesthesiology 5890792303 Reassigns benefits to 2 organizations
I20080522000312 NJ Practitioner - Anesthesiology 5890792303

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237710-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Feb 17, 2022 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Aug 1, 2006 Accepting new patients
Gastrointestinal Associates of Rockland, PC PastSince Jul 9, 1996 Accepting new patients
Port Jervis Anesthesiology Associates, PLLC Past Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 10, 2025 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

256 Broad St
Bloomfield, NJ 07003
Phone (973) 615-7700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

974 Route 45
Ste 1000
Pomona, NY 10970
Phone (845) 354-1113

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745

133 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

4 Westchester Park Dr
Ste 300
White Plains, NY 10604
Phone (914) 368-2424

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1578599544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59 STE 111",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015620",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 105",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-5775",
            "fax_number": "845-357-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELMAN",
        "first_name": "BENJAMIN",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "237710-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.