Active NPI
D a Benedetto MD PA
- Ophthalmology Physician
- Bayonne, NJ
National Provider Identifier
1770640294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA3211800
- Legal business name
- D A BENEDETTO MD PA
- Practice address
- 124 Avenue B
Bayonne, NJ 07002 - Phone
- (201) 436-1150
- Fax
- (201) 436-0161
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominick A Benedetto, M.D
- Title
- President
- Phone
- (201) 436-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA3211800 | NJ | Primary |
Addresses
Primary practice location
124 Avenue B
Bayonne, NJ 07002
Mailing address
124 Avenue B
Bayonne, NJ 07002
Phone (201) 436-1150
National Provider Directory
National Provider DirectoryLocations
124 Avenue B
Bayonne, NJ 07002
Phone (201) 436-1150
170 Kinnelon Rd
Kinnelon, NJ 07405
Phone (201) 436-1150
111 Madison Ave
Ste 301
Morristown, NJ 07960
Phone (973) 267-1197
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bernardsville, NJ
- NPI 1770598401
-
- Optometrist
- Royal Palm Beach, FL
- NPI 1518195353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297036800000",
"number": "1770640294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 AVENUE B",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-436-1150",
"fax_number": "201-436-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 AVENUE B",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-436-1150",
"fax_number": "201-436-0161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D A BENEDETTO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2011-02-07",
"status": "A",
"authorized_official_last_name": "BENEDETTO",
"authorized_official_first_name": "DOMINICK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-436-1150",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA3211800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.