Individual provider Active NPI

Benjamin Tuchman

  • Occupational Medicine Clinic/Center
  • Plymouth, MI
National Provider Identifier
1689025082
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
023270-1 Issued in NY
Practice address
801 W Ann Arbor TRL
Suite 220
Plymouth, MI 48170-1694
Phone
(866) 991-0900
NPI assigned
Jun 27, 2016
Last updated
Aug 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 023270-1 NY Primary

Addresses

Primary practice location

801 W Ann Arbor TRL
Suite 220
Plymouth, MI 48170-1694

Mailing address

189 Sneden PL W
Spring Valley, NY 10977-3918
Phone (866) 991-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311001809 NY Practitioner - Occupational Therapist in Private Practice 4981032687 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023270NYMDClinical Psychologist
023270-1NYMDOccupational Medicine Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Nov 12, 2021 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Nov 12, 2021 Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1689025082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SNEDEN PL W",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773918",
            "telephone_number": "866-991-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL",
            "address_2": "SUITE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "866-991-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHMAN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NY",
            "license": "023270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.