Elizabeth Ratnamala Benjamin, NURSE PRACTIONER

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

F401255 Issued in NY

Practice address

3600 Route 112
Coram, NY 11727-4116

Phone

(631) 920-8500

Fax

(631) 920-8501

NPI assigned

Jul 27, 2010

Last updated

Jul 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Ratnamala Benjam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1629382114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 112",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274116",
            "telephone_number": "631-920-8500",
            "fax_number": "631-920-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 112",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274116",
            "telephone_number": "631-920-8500",
            "fax_number": "631-920-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ELIZABETH",
        "middle_name": "RATNAMALA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401255",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "F401255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BENJAM",
            "middle_name": "RATNAMALA",
            "credential": "NURSE PRACTIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherilyn Batista, CRNA
• Bayada Home Health Care
• Lawrence Stuart Beck, D.C.
• Susan Neel Gilleeny Behrens, D.P.T.
• Nikki Beirne
• Richard Oliver Bennett, RPA-C
• Sammy Eli Benyamin, DPT
• Sweta Bhatt
• Charles L. Billera, D.D.S.
• Justine Biscardi

• Behavior Analyst in Coram, NY
• Providers in Coram, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.