Active NPI
John Fitzgerald Kennedy Benedict, PA-C
- Medical Physician Assistant
- Collegeville, PA
National Provider Identifier
1700035631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053621
- Practice address
- 115 Knoll Dr
Collegeville, PA 19426-1658 - Phone
- (610) 745-5328
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053621 | PA | Primary |
Addresses
Primary practice location
115 Knoll Dr
Collegeville, PA 19426-1658
Mailing address
115 Knoll Dr
Collegeville, PA 19426-1658
Phone (610) 745-5328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenixville Clinic Company LLC | Medical | Current | Accepting new patients |
| Atlantic Physician Services of Maryland, PC | Current | Accepting new patients | |
| Core Orthopaedics PC | Past | Accepting new patients | |
| Roosevelt Emergency Physicians | Past | Accepting new patients |
Locations
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Medical
-
- Emergency Medicine Physician
- West Chester, PA
- NPI 1023044278
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Orthopaedic Surgery Physician
- Exton, PA
- NPI 1962459867
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1043263726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1700035631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 KNOLL DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194261658",
"telephone_number": "610-745-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 KNOLL DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194261658",
"telephone_number": "610-745-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "JOHN",
"middle_name": "FITZGERALD KENNEDY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.