Organization Active NPI

Benjamin Bonte M.D. PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Purchase, NY
National Provider Identifier
1871176776
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
BENJAMIN BONTE M.D. PLLC
Practice address
3000 Westchester Ave Ste 202
Purchase, NY 10577-2550
Phone
(617) 470-4108
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dr. Benjamin Bonte, MDNPI 1972846509
Title
Founder
Phone
(617) 470-4108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

3000 Westchester Ave Ste 202
Purchase, NY 10577-2550

Mailing address

400 Chambers St Apt 9H
New York, NY 10282-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706001893 NY Part B Supplier - Clinic/Group Practice 5991107542 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; White Plains, NY; Purchase, NY

National Provider Directory

National Provider Directory

Locations

3170 Webster Ave
Bronx, NY 10467
Phone (718) 708-5777

3000 Westchester Ave
Ste 202
Purchase, NY 10577
Phone (617) 470-4108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1871176776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHAMBERS ST APT 9H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102821008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTCHESTER AVE STE 202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772550",
            "telephone_number": "617-470-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN BONTE M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "BONTE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-470-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.