Individual provider Active NPI

Benjamin W White, M.D.

  • Internal Medicine Physician
  • Commack, NY
National Provider Identifier
1730181231
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
114499-01 Issued in NY
Practice address
68 Hauppauge Rd
Commack, NY 11725-4403
Phone
(631) 255-5534
Fax
(865) 560-7110
NPI assigned
Aug 15, 2005
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38651 MA
Internal Medicine Physician 207R00000X 114499-01 NY Primary
Pulmonary Disease Physician 207RP1001X 38651 MA

Addresses

Primary practice location

68 Hauppauge Rd
Commack, NY 11725-4403

Mailing address

1643 NW 136TH Ave Ste 100
Sunrise, FL 33323-2857
Phone (954) 377-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220826001305 NY Practitioner - Internal Medicine 5395779979 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114499-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Feb 4, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 11, 2022 Accepting new patients
New York General Medical Services PC CurrentSince Jul 11, 2022 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

2090 Albany Post Rd
Montrose, NY 10548

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1730181231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE STE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "954-377-2939",
            "fax_number": "865-560-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254403",
            "telephone_number": "631-255-5534",
            "fax_number": "865-560-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BENJAMIN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "38651",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "114499-01",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "38651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.