Benardot Pediatrics, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

229747 Issued in NY

Legal business name

BENARDOT PEDIATRICS, PLLC

Practice address

58 Elm St
Malone, NY 12953-1507

Phone

(518) 483-5800

Fax

(518) 483-1113

NPI assigned

Jun 13, 2006

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Lisa A Guiffrida, CPC

Title

Office Manager/Billing Specialist

Phone

(518) 483-5800

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emile Benardot, M.D.

  • Pediatrics Physician
  • Malone, NY
  • NPI 1275594665
  NPD (past)
• Tayla Lyn Durant, NP

  • Pediatric Nurse Practitioner
  • Potsdam, NY
  • NPI 1114531670
  NPD (past)
• Lindsay Mills Holland, APRN

  • Family Nurse Practitioner
  • Malone, NY
  • NPI 1073273546
  NPD (past)
• Kate F Minnick, RPA-C

  • Physician Assistant
  • Depew, NY
  • NPI 1215263561
  NPD (past)
• Brandi Moziak, PA

  • Medical Physician Assistant
  • Clyde, NC
  • NPI 1568918027
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1730122359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ELM STREET",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-483-5800",
            "fax_number": "481-483-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ELM ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531507",
            "telephone_number": "518-483-5800",
            "fax_number": "518-483-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENARDOT PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "GUIFFRIDA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING SPECIALIST",
        "authorized_official_telephone_number": "518-483-5800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "229747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Barrett-Pierino
• Michelle R Barton, PRS
• James Bashaw
• Riley Alexis Baxter
• Chelsea Ann Beitz, LPN
• Emile Benardot, M.D.
• Melissa J Benardot, CPNP
• Niles L Bennett, CRNA
• John Benware II, LPN
• Lexie Marie Benware

• Specialist in Malone, NY
• Providers in Malone, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.