NPIMap

Individual provider Active NPI

Mary C Benoy, M.D.

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1821355124
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60-280854 Issued in NY
Practice address
396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Phone
(845) 331-3131
Fax
(845) 334-2898
NPI assigned
Apr 12, 2012
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60-280854 NY Primary
Hospitalist Physician 208M00000X 280854 NY

Addresses

Primary practice location

396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626

Mailing address

396 Broadway
Mid Hudson Physicians, PC
Kingston, NY 12401-4626
Phone (845) 331-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901002749 NY Practitioner - Family PracticePractitioner - Hospitalist 9335455633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60-280854NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 15, 2023 Accepting new patients
Deleo Family Medicine P C Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Mid Hudson Physicians, P.C. CurrentSince Aug 1, 2015 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 15, 2023 Accepting new patients
Mid- Hudson Medical Group P C Family Medicine PastSince Jan 1, 2018 Accepting new patients
Healthalliance Hospital Marys Avenue Campus Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

145 Sawkill Rd
Kingston, NY 12401
Phone (845) 340-1760

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3549/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1821355124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "address_2": "MID HUDSON PHYSICIANS, PC",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131",
            "fax_number": "845-334-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "address_2": "MID HUDSON PHYSICIANS, PC",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131",
            "fax_number": "845-334-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOY",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60-280854",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "280854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.