Individual provider Active NPI

Nora Ligia Benavides, D.O

  • Student in an Organized Health Care Education/Training Program
  • Far Rockaway, NY
National Provider Identifier
1740558444
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone
(718) 734-3020
Fax
(718) 734-3027
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042

Mailing address

5115 Beach Channel Dr
Far Rockaway, NY 11691-1042
Phone (718) 734-3020

Other names 1

  • Norma Ligia Benavides Former name

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
I20180116000222 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2062771231 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shakespeare Operating LLC CurrentSince May 5, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 5, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 5, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince May 5, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince May 5, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince May 5, 2024 Accepting new patients
Bronx Counseling Center LLC CurrentSince Aug 21, 2024 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

593 E Tremont Ave
Ste B
Bronx, NY 10457

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1740558444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-3020",
            "fax_number": "718-734-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-3020",
            "fax_number": "718-734-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "NORA",
        "middle_name": "LIGIA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "BENAVIDES",
            "middle_name": "LIGIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.