Individual provider Active NPI

Marguerite Kalowsky Benoit, G.N.P.

  • Gerontology Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1861745259
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
001835 Issued in CT
Practice address
187 Bouton St W
Stamford, CT 06907-1320
Phone
(914) 318-2616
Fax
(914) 764-3251
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 001835 CT Primary
Gerontology Nurse Practitioner 363LG0600X F340338-1 NY

Addresses

Primary practice location

187 Bouton St W
Stamford, CT 06907-1320

Mailing address

187 Bouton St W
Stamford, CT 06907-1320
Phone (914) 318-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001835CTMDGerontology Nurse Practitioner
F340338-1NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1861745259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BOUTON ST W",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071320",
            "telephone_number": "914-318-2616",
            "fax_number": "914-764-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 BOUTON ST W",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071320",
            "telephone_number": "914-318-2616",
            "fax_number": "914-764-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "MARGUERITE",
        "middle_name": "KALOWSKY",
        "name_prefix": "Ms.",
        "credential": "G.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "001835",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340338-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.