Active NPI
Marguerite Kalowsky Benoit, G.N.P.
- Gerontology Nurse Practitioner
- Stamford, CT
National Provider Identifier
1861745259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 001835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001835 | CT | MD | Gerontology Nurse Practitioner |
| F340338-1 | NY | MD | Gerontology 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.