NPIMap

Organization Active NPI

Central Park Endocrinology, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • New York City, NY
National Provider Identifier
1730205600
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
098603 Issued in NY
Legal business name
CENTRAL PARK ENDOCRINOLOGY, PC
Practice address
115 Central Park West
Ste 14
New York City, NY 10023
Phone
(212) 877-2100
Fax
(212) 873-9311
NPI assigned
Mar 22, 2007
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Vanessa Matthews
Title
Office Admin
Phone
(212) 877-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 098603 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 098603 NY Primary

Addresses

Primary practice location

115 Central Park West
Ste 14
New York City, NY 10023

Mailing address

115 Central Park West
Ste 14
New York City, NY 10023
Phone (212) 877-2100

Other identifiers 2

IdentifierTypeStateIssuer
03387551MedicaidNY
1730205600OtherNPI

Other names 1

  • HARVEY L BENOVITZ MD,PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920001217 NY Part B Supplier - Clinic/Group Practice 4284759788 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

115 Central Park W
Ofc 14
New York, NY 10023
Phone (212) 877-2100

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1730205600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CENTRAL PARK WEST",
            "address_2": "STE 14",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-877-2100",
            "fax_number": "212-873-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CENTRAL PARK WEST",
            "address_2": "STE 14",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-877-2100",
            "fax_number": "212-873-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK ENDOCRINOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "212-877-2100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "098603",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "098603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03387551",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730205600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEY L BENOVITZ MD,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HARVEY L BENOVITZ MD,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.