Jeremiah Michael Benoit, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

257382 Issued in NY

Practice address

103 County Highway 138
Broadalbin, NY 12025-6902

Phone

(518) 883-1023

NPI assigned

Jun 6, 2008

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital and Nursing Home

  • Skilled Nursing Facility
  • Gloversville, NY
  • NPI 1073541850
  NPD (past)
• Atlantic Professional Services of Rhode Island Incorporated

  • Hospitalist Physician
  • Wakefield, RI
  • NPI 1922036946
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821257635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COUNTY HIGHWAY 138",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120256902",
            "telephone_number": "518-883-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTY HIGHWAY 138",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120256902",
            "telephone_number": "518-883-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 Kania Rd",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120106610",
            "country_code": "US",
            "telephone_number": "518-209-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "JEREMIAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Psychotherapy Services LCSW PLLC
• Ellen M Alric, MA, CCC, SLP
• Anderson Chiropractic PC
• Philip Jospeh Bechard
• Sarah K Beyer, PA
• Broadalbin Pharmacy Inc
• Broadalbin Volunteer Ambulance Corp, Inc
• Broadalbin-Perth Central School District
• Carondelet Regional Medical, PC

• Internal Medicine Physician in Broadalbin, NY
• Providers in Broadalbin, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.