Active NPI
Andy Benchemmar, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1740838754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104515
- Practice address
- 1765 South Ave
Staten Island, NY 10314-3604 - Phone
- (718) 761-9800
- Fax
- (718) 370-1142
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 104515 | NY | Primary |
Addresses
Primary practice location
1765 South Ave
Staten Island, NY 10314-3604
Mailing address
1765 South Ave
Staten Island, NY 10314-3604
Phone (718) 761-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104515 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1740838754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 SOUTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143604",
"telephone_number": "718-761-9800",
"fax_number": "718-370-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 SOUTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143604",
"telephone_number": "718-761-9800",
"fax_number": "718-370-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCHEMMAR",
"first_name": "ANDY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.