Kristen Benedetto, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

520 E 70TH St # 341
New York, NY 10021-9800

Phone

(212) 746-7576

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Buron Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: krb9058@direct.nyp.org

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1629533203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBOR POINT RD APT 310",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027318",
            "telephone_number": "631-334-3942",
            "fax_number": "212-746-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # 341",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "212-746-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Harbor Point Rd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069020738",
            "country_code": "US",
            "telephone_number": "631-334-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "KRISTEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BURON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teal L Benedetti, M.S., ED
• Maria T. Benedetto-Anzai, M.D.
• Angela Benedetto, M.A. CCC-SLP
• Ariana Benedetto
• Carmann Benedetto
• Vincent Benedetto, PT, MS, ACSM H/FI
• Benedict Mental Health Counseling PC
• Brent Benedict, PHARM.D.
• Maura Benedict, RDN
• Peter Charles Benedict, LMHC

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.