Organization Active NPI

Ralph Benzakein DPM PC

  • Podiatric Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1689862906
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
3697-1 Issued in NY
Legal business name
RALPH BENZAKEIN DPM PC
Practice address
2241 Ocean Ave
Brooklyn, NY 11229-2303
Phone
(718) 998-1375
Fax
(718) 339-2839
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Ralph BenzakeinNPI 1609873041
Title
President
Phone
(718) 998-1375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 3697-1 NY Primary

Addresses

Primary practice location

2241 Ocean Ave
Brooklyn, NY 11229-2303

Mailing address

2241 Ocean Ave
Brooklyn, NY 11229-2303
Phone (718) 998-1375

Other identifiers 1

IdentifierTypeStateIssuer
00881163MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000454 NY Part B Supplier - Clinic/Group Practice 7416078662 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Yonkers, NY; Rockaway Park, NY; Long Beach, NY; Hempstead, NY; Far Rockaway, NY; Bronx, NY; Astoria, NY…

National Provider Directory

National Provider Directory

Locations

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

2579 Ocean Ave
#2
Brooklyn, NY 11229
Phone (718) 998-1375

430 Beach 68th St
Far Rockaway, NY 11692
Phone (718) 474-0357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1689862906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-998-1375",
            "fax_number": "718-339-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292303",
            "telephone_number": "718-998-1375",
            "fax_number": "718-339-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH BENZAKEIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BENZAKEIN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-1375",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "3697-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00881163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.