Active NPI
Maria Elena Moore Benjamin, M.D.
- Surgical Oncology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 25MA12041700
- Practice address
- 185 S Orange Ave RM G-506
Newark, NJ 07103-2757 - Phone
- (973) 972-5045
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 25MA12041700 | NJ | Primary |
Addresses
Primary practice location
185 S Orange Ave RM G-506
Newark, NJ 07103-2757
Mailing address
555 President St Unit 922
Baltimore, MD 21202-6306
Phone (860) 208-5123
Other practice location 1
27005 76th Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7210
Other practice location 2
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-4600
Other practice location 3
1700 Reisterstown Rd Ste 102
Baltimore, MD 21208-2978
Phone (410) 469-5555
Other names 1
- Maria Elena Moore Kern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Boston University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Bergen St
Newark, NJ 07107-3000
Phone (973) 972-0037
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Surgery | Current | Accepting new patients |
Locations
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
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 and National Provider Directory roles.
-
- Surgery Physician
- Newark, NJ
- NPI 1639189236
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1811346992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PRESIDENT ST UNIT 922",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212026306",
"telephone_number": "860-208-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE RM G-506",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-5045"
}
],
"practiceLocations": [
{
"address_1": "27005 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401402",
"country_code": "US",
"telephone_number": "718-470-7210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W Belvedere Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212155216",
"country_code": "US",
"telephone_number": "410-601-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Reisterstown Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212082978",
"country_code": "US",
"telephone_number": "410-469-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENJAMIN",
"first_name": "MARIA ELENA",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NJ",
"license": "25MA12041700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA ELENA",
"last_name": "KERN",
"middle_name": "MOORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.