Marylyn Dawas Bentayen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F340610 Issued in NY

Practice address

55 Broad St
New York, NY 10004-2501

Phone

(347) 689-6815

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• N Dladla MD PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1548034846
  NPD
• ND Concierge Medicine PC

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1952119802
  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1700193604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294211",
            "telephone_number": "646-508-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROAD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042501",
            "telephone_number": "347-689-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTAYEN",
        "first_name": "MARYLYN",
        "middle_name": "DAWAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "600230",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "600230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Susan Benston, LCAT, ATR-BC
• Elyse J Bensusan, PSY.D
• Cathylee Bent
• Eric Huttenlocher Bent
• Yvonne M Bent, LPN
• Maria Elena Bentey, LMHC
• Melissa Inez Bentley, RN
• Suzanne Bentley, MD
• Edward Bentlyewski, APN
• Emily Benton, MD

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.

Verify at the official NPI Registry.