Individual provider Active NPI

Irina Benenson

  • Family Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1740622927
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00453100 Issued in NJ
Practice address
5 Starr Rd
East Brunswick, NJ 08816-4052
Phone
(732) 890-7164
NPI assigned
Jul 29, 2013
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00453100 NJ Primary

Addresses

Primary practice location

5 Starr Rd
East Brunswick, NJ 08816-4052

Mailing address

5 Starr Rd
East Brunswick, NJ 08816-4052
Phone (732) 890-7164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131121000261 NJ Practitioner - Nurse Practitioner 4587890538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00453100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 6, 2013 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 15, 2022 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 15, 2022 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 1, 2015 Accepting new patients
Rutgers Nursing Faculty Practice Past Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Ofc Cent
Newark, NJ 07103
Phone (973) 972-2111

90 Bergen St
Ste 300
Newark, NJ 07103
Phone (973) 972-2111

Organizations & group practices 5

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1740622927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STARR RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164052",
            "telephone_number": "732-890-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STARR RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164052",
            "telephone_number": "732-890-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENENSON",
        "first_name": "IRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00453100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.