Individual provider Active NPI

Andre Camer Benzer, PT, DPT, CSCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1659039220
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048212 Issued in NY
Practice address
30 E 60TH St Ste 1205
New York, NY 10022-1069
Phone
(212) 996-9700
NPI assigned
Dec 1, 2021
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 048212 NY Primary

Addresses

Primary practice location

30 E 60TH St Ste 1205
New York, NY 10022-1069

Mailing address

4810 45TH St Apt 6C
Woodside, NY 11377-7015
Phone (201) 562-8047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001565 NY Practitioner - Physical Therapist in Private Practice 4284024233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048212NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Spring Forward Physical Therapy, P.C. CurrentSince Feb 1, 2022 Accepting new patients
In Home Physical Therapy PLLC CurrentSince Feb 27, 2022 Accepting new patients
Reddy Care Physical Therapy PC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Reddy Care Physical and Occupational Therapy PLLC Physical Therapist PastSince Dec 5, 2021 Accepting new patients

Locations

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 27
Great Neck, NY 11021

30 E 60th St
Ste 1205
New York, NY 10022
Phone (212) 996-9700

55 Broadway
Ste 201
New York, NY 10006
Phone (646) 870-5440

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Organizations & group practices 5

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1659039220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 45TH ST APT 6C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113777015",
            "telephone_number": "201-562-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST STE 1205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221069",
            "telephone_number": "212-996-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZER",
        "first_name": "ANDRE",
        "middle_name": "CAMER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.