Active NPI
Mark M Benkel, MD
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1770699787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 124411
- Practice address
- 6410 Veterans Ave
Suite 105
Brooklyn, NY 11234-5639 - Phone
- (718) 209-8600
- Fax
- (718) 209-8605
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 124411 | NY | Primary |
Addresses
Primary practice location
6410 Veterans Ave
Suite 105
Brooklyn, NY 11234-5639
Mailing address
6410 Veterans Ave
Suite 105
Brooklyn, NY 11234-5639
Phone (718) 209-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00248128 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 9, 2016 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124411 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mab9574@direct.nyp.org
- markbenkel@mai.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770699787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 VETERANS AVE",
"address_2": "SUITE 105",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345639",
"telephone_number": "718-209-8600",
"fax_number": "718-209-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 VETERANS AVE",
"address_2": "SUITE 105",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345639",
"telephone_number": "718-209-8600",
"fax_number": "718-209-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENKEL",
"first_name": "MARK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "124411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00248128",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.