Individual provider Active NPI

Elizabeth Coch Benstock, MD

  • Dermatology Physician
  • Newtown Square, PA
National Provider Identifier
1710921101
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD070523L Issued in PA
Practice address
3501 W Chester Pike
Unit 205
Newtown Square, PA 19073-3704
Phone
(610) 325-5553
Fax
(610) 325-5532
NPI assigned
Jun 15, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD070523L PA Primary

Addresses

Primary practice location

3501 W Chester Pike
Unit 205
Newtown Square, PA 19073-3704

Mailing address

3501 W Chester Pike
Unit 205
Newtown Square, PA 19073-3704
Phone (610) 325-5553

Other names 1

  • Dr. Elizabeth Benstock Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000135 PA Practitioner - Dermatology 3476587197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Delaware Valley PCGroup PAC ID 6305838277, 2 clinicians

Practice addresses (Care Compare)

3501 W Chester Pike
Suite 202
Newtown Square, PA 19073-3708
Phone (610) 325-5553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.07 of 100Reported as individual
Quality
26.67
Promoting interoperability
28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision103
Removal of skin lesions2869
Removal or shaving of skin growth591
Skin biopsy54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD070523LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Delaware Valley PC Dermatology CurrentSince Sep 15, 2003 Accepting new patients

Locations

3501 West Chester Pike
Ste 202
Newtown Square, PA 19073
Phone (610) 325-5553

3501 West Chester Pike
Ste 205
Newtown Square, PA 19073
Phone (610) 325-5553

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1710921101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W CHESTER PIKE",
            "address_2": "UNIT 205",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733704",
            "telephone_number": "610-325-5553",
            "fax_number": "610-325-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W CHESTER PIKE",
            "address_2": "UNIT 205",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733704",
            "telephone_number": "610-325-5553",
            "fax_number": "610-325-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCH BENSTOCK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD070523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BENSTOCK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.