Active NPI
Darlene Benjamin, CRNP
- Nurse Practitioner
- Scranton, PA
National Provider Identifier
1750376752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TP-007014-B
- Practice address
- 5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641 - Phone
- (570) 344-3788
- Fax
- (570) 969-9280
- NPI assigned
- Sep 15, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TP-007014-B | PA | Primary |
Addresses
Primary practice location
5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Mailing address
5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641
Phone (570) 344-3788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500022179 | Other | PA | RAILROAD MEDICARE |
| 50076560 | Other | PA | CAPITAL BLUE CROSS |
| 050184 | Other | PA | BLUE CARE |
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
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP-007014-B | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Past | Accepting new patients |
Interoperability endpoints
- db@nepanephrology.medentdirect.com
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1750376752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MORGAN HWY",
"address_2": "SUITE 4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-969-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MORGAN HWY",
"address_2": "SUITE 4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-969-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "DARLENE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "TP-007014-B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500022179",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50076560",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE",
"identifier": "050184",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.