NPIMap

Individual provider Active NPI

Miriam M Benoff, N.P.

  • Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1861504169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00089300 Issued in NJ
Practice address
321 Summit Ave
Hackensack, NJ 07601-1429
Phone
(201) 343-2434
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00089300 NJ Primary

Addresses

Primary practice location

321 Summit Ave
Hackensack, NJ 07601-1429

Mailing address

1097 Falmouth Ave
Teaneck, NJ 07666-1907
Phone (201) 836-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070228000059 NJ Practitioner - Nurse Practitioner 8123120755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

30 W Century Rd
Suite 210
Paramus, NJ 07652-1440
Phone (201) 632-5057

408 37TH St
Union City, NJ 07087-4994
Phone (201) 864-4477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BSD Nephrology and Hypertension PA CurrentSince Jun 17, 2013 Accepting new patients
Excelcare Medical Associates, PA CurrentSince Apr 19, 2021 Accepting new patients
Holy Name Health Physicians Past Accepting new patients
BSD NJ Medical LLC PastSince Mar 14, 2015 Accepting new patients

Locations

360 Essex St
Ste 304
Hackensack, NJ 07601
Phone (201) 646-0110

30 W Century Rd
Paramus, NJ 07652
Phone (201) 261-2000

30 W Century Rd
Ste 210
Paramus, NJ 07652
Phone (201) 632-5057

Organizations & group practices 4

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 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861504169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 FALMOUTH AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661907",
            "telephone_number": "201-836-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011429",
            "telephone_number": "201-343-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOFF",
        "first_name": "MIRIAM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00089300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.