Active NPI
Irina Benenson
- Family Nurse Practitioner
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00453100
- Practice address
- 5 Starr Rd
East Brunswick, NJ 08816-4052 - Phone
- (732) 890-7164
- NPI assigned
- Jul 29, 2013
- Last updated
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00453100 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of New Jersey LLC | Family | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates | Current | 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.
-
dba New Jersey Family Practice Center
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba Rutgers Community Health Center
- Community Health Clinic/Center
- Newark, NJ
- NPI 1710475322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.