Individual provider Active NPI

Ben Numpang, MD

  • Neonatal-Perinatal Medicine Physician
  • Middletown, NY
National Provider Identifier
1619119286
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
310668 Issued in NY
Practice address
Garnet Health Medical Center
707 East Main Street
Middletown, NY 10940
Phone
(845) 333-6270
NPI assigned
Mar 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X M-1756 GU
Neonatal-Perinatal Medicine Physician 2080N0001X 7279072-1205 UT
Neonatal-Perinatal Medicine Physician 2080N0001X 310668 NY Primary

Addresses

Primary practice location

Garnet Health Medical Center
707 East Main Street
Middletown, NY 10940

Mailing address

280 Route 211 E Ste 104-331
Middletown, NY 10940-3109
Phone (845) 239-2953

Other practice location 1

Maria Fareri's Children Hospital
100 Woods Road
Valhalla, NY 10595
Phone (914) 493-8558

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210712000311 NY Practitioner - Pediatric Medicine 1254577455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310668NYMDLicensed Practical Nurse
7279072-1205UTMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Childrens Health Physicians LLP CurrentSince Sep 1, 2021 Accepting new patients
Boston Children'S Health Physicians, LLP Neonatal-Perinatal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Garnet Health Medical Center Past Accepting new patients
St. Luke'S Cornwall Hospital Past Accepting new patients

Locations

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

40 Sunshine Cottage Rd
Valhalla, NY 10595
Phone (914) 594-2200

100 Woods Rd
#O
Valhalla, NY 10595

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1619119286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 ROUTE 211 E STE 104-331",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403109",
            "telephone_number": "845-239-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GARNET HEALTH MEDICAL CENTER",
            "address_2": "707 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-333-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Maria Fareri's Children Hospital",
            "address_2": "100 Woods Road",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "10595",
            "country_code": "US",
            "telephone_number": "914-493-8558",
            "fax_number": "914-493-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUMPANG",
        "first_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GU",
            "license": "M-1756",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "UT",
            "license": "7279072-1205",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "310668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.