NPIMap

Individual provider Active NPI

Betsy Benjamin, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1750957809
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481923 Issued in PA
Practice address
9331 Old Bustleton Ave Ste 100a
Philadelphia, PA 19115-4204
Phone
(215) 671-0653
Fax
(215) 671-0970
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD481923 PA Primary
Family Medicine Physician 207Q00000X 510582 PA

Addresses

Primary practice location

9331 Old Bustleton Ave Ste 100a
Philadelphia, PA 19115-4204

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 926-9019

Other practice location 1

100 Lincoln Hwy
Fairless Hills, PA 19030-1008
Phone (267) 587-0775

Other practice location 2

501 Bath Rd
Bristol, PA 19007-3190
Phone (215) 785-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020002096 PA Practitioner - Family Practice 3072969484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

9331 Old Bustleton Ave
100A
Philadelphia, PA 19115-4204
Phone (215) 333-2322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
510582PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Temple Physician Inc. CurrentSince Jul 1, 2024 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

9331 Old Bustleton Ave
#100A
Philadelphia, PA 19115
Phone (215) 333-2322

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

9331 Old Bustleton Ave
Ste 100A
Philadelphia, PA 19115
Phone (215) 333-2322

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1750957809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-926-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 OLD BUSTLETON AVE STE 100A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154204",
            "telephone_number": "215-671-0653",
            "fax_number": "215-671-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairless Hills",
            "state": "PA",
            "postal_code": "190301008",
            "country_code": "US",
            "telephone_number": "267-587-0775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073190",
            "country_code": "US",
            "telephone_number": "215-785-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BETSY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481923",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "510582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 Lincoln Hwy",
            "city": "Fairless Hills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190301008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.