NPIMap

Individual provider Active NPI

Amnon Beniaminovitz, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1861770604
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
271924 Issued in NY
Practice address
125 Maiden LN RM 6B
New York, NY 10038-4715
Phone
(212) 480-9500
Fax
(212) 480-9700
NPI assigned
Jul 27, 2011
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 271924 NY Primary

Addresses

Primary practice location

125 Maiden LN RM 6B
New York, NY 10038-4715

Mailing address

125 Maiden LN RM 6B
New York, NY 10038-4715
Phone (212) 480-9500

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
I20160816002772 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153616057 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Nassau Diagnostic Imaging Services PCGroup PAC ID 8820902653, 9 clinicians

Practice addresses (Care Compare)

115 W Sunrise Hwy
Freeport, NY 11520-3612
Phone (516) 546-9200

125 Maiden LN
RM 6B
New York, NY 10038-4715
Phone (212) 480-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.43 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
64.77

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nassau Diagnostic Imaging Services P.C. Multi-Specialty CurrentSince Nov 1, 2020 Accepting new patients
Executive Medical Care,P.C. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Vivify Medical PLLC Multi-Specialty CurrentSince May 26, 2025 Accepting new patients
Advanced Imaging Mobile Ultrasound Services Multi-Specialty CurrentSince May 1, 2021 Accepting new patients
Joshua Penn MD a Medical Corporation Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Medical Office of Manhattan PLLC Multi-Specialty CurrentSince Nov 13, 2018 Accepting new patients
Remote Precision Cardiovascular Diagnostics P.C. Cardiovascular Disease Current Accepting new patients
Oleg Karpenko Podiatry P.C. Multi-Specialty PastSince Jul 1, 2020 Accepting new patients

Locations

3049 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 934-0322

115 W Sunrise Hwy
Freeport, NY 11520
Phone (516) 546-9200

125 Maiden Ln
Rm 6B
New York, NY 10038
Phone (212) 480-9500

201 E 65th St
New York, NY 10065
Phone (212) 879-4700

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

3599 Boulevard
#B
Colonial Hgts, VA 23834

Interoperability endpoints

  • Direct secure messaging: abeniaminovitz64545@northwell.direct-ci.com

Organizations & group practices 9

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1861770604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIDEN LN RM 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384715",
            "telephone_number": "212-480-9500",
            "fax_number": "212-480-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIDEN LN RM 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384715",
            "telephone_number": "212-480-9500",
            "fax_number": "212-480-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIAMINOVITZ",
        "first_name": "AMNON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "271924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.