Individual provider Active NPI

Jay Robert Benson, D.O.

  • Family Medicine Physician
  • Princeton, NJ
National Provider Identifier
1578881884
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08672300 Issued in NJ
Practice address
601 Ewing St Ste B17
Princeton, NJ 08540-2755
Phone
(609) 200-6077
Fax
(609) 772-4882
NPI assigned
May 11, 2010
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08672300 NJ Primary

Addresses

Primary practice location

601 Ewing St Ste B17
Princeton, NJ 08540-2755

Mailing address

601 Ewing St Ste B17
Princeton, NJ 08540-2755
Phone (609) 200-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 22, 2011 through Jul 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08672300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Health LLC Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Joel Fuhrman MD, PC Family Medicine Past Accepting new patients

Locations

601 Ewing St
Ste B17
Princeton, NJ 08540
Phone (609) 200-6077

Organizations & group practices 3

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1578881884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B17",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-200-6077",
            "fax_number": "609-772-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE B17",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402755",
            "telephone_number": "609-200-6077",
            "fax_number": "609-772-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JAY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08672300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.