Charlene Benjamin, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Smithtown, NY
NPI 1780949776 · NPPES record last updated Jul 6, 2012
Key facts
- NPI
- 1780949776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F3055181 (NY)
- Practice address
- 257 E Middle Country Rd
Smithtown, NY 11787-2807 - Phone
- (631) 724-4664
- Fax
- (631) 360-7880
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fpa Hospital Based
Practice addresses (Care Compare)
100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500
1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161025000007 | NY | Practitioner - Nurse Practitioner | 9032497128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3055181 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current |
Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current |
Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
2520 30th Ave
#4
Astoria, NY 11102
300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000
3131 Kings Hwy
Ste A4
Brooklyn, NY 11234
Phone (718) 758-1500
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333
1176 5th Ave
Lbby
New York, NY 10029
17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
325 W 15th St
New York, NY 10011
Phone (212) 523-5938
787 11th Ave
#7
New York, NY 10019
425 W 59th St
Ste 6C6D
New York, NY 10019
Phone (212) 241-8333
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
281 1st Ave
New York, NY 10003
Phone (212) 844-1808
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
1090 Amsterdam Ave
Fl 3
New York, NY 10025
Phone (212) 523-8333
1000 10th Ave
Fl 4
New York, NY 10019
Phone (212) 523-8332
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
17 E 102nd St
#Stste6D
New York, NY 10029
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F3055181 | NY | Yes |
Addresses
Primary practice location
257 E Middle Country Rd
Smithtown, NY 11787-2807
Mailing address
257 E Middle Country Rd
Smithtown, NY 11787-2807
Phone (631) 724-4664
Other providers in Smithtown, NY
- Barbara Jean Bender Kivat
- Katie Bendersky
- Maria F Benetos
- Melissa Benfanti
- Catherine Benish
- Richard Allen Bennett
- Lynne Berke
- Merissa Rachel Berman
- Joanne Bernabeo
- Robert Douglas Berney
All providers in Smithtown, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.