NPIMap

Individual provider Active NPI

Linda Lazarus Benjamin, MD

  • General Practice Physician
  • Buffalo, NY
National Provider Identifier
1780691840
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
135545 Issued in NY
Practice address
50 Lakefront Blvd
Buffalo, NY 14202-4327
Phone
(716) 849-8750
Fax
(716) 849-8756
NPI assigned
Aug 2, 2006
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 135545 NY Primary

Addresses

Primary practice location

50 Lakefront Blvd
Buffalo, NY 14202-4327

Mailing address

50 Lakefront Blvd
Buffalo, NY 14202-4327
Phone (716) 849-8750

Other identifiers 4

IdentifierTypeStateIssuer
005085852OtherNYBCBS
00010014301OtherNYUNIVERA
6409370OtherNYIHA
00722514MedicaidNY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135545NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates, LLP Past Accepting new patients
Marciniak Chiropractic PLLC PastSince Aug 7, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1780691840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024327",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024327",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LINDA",
        "middle_name": "LAZARUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "135545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005085852",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010014301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6409370",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.