Beniwal MD LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MA60489 Issued in NJ

Legal business name

BENIWAL MD LLC

Practice address

508 Hamburg Tpke
Suite 205
Wayne, NJ 07470-8482

Phone

(973) 956-0800

Fax

(973) 956-1885

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jagbir S Beniwal, M.D.NPI 1134229172

Title

Owner

Phone

(973) 956-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagbir S Beniwal, MD

  • Vascular Surgery Physician
  • Wayne, NJ
  • NPI 1134229172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1871769075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-956-0800",
            "fax_number": "973-956-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-956-0800",
            "fax_number": "973-956-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENIWAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BENIWAL",
        "authorized_official_first_name": "JAGBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-956-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA60489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6970508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Elise Bell, MS, CCC-SLP
• Bellardini Medical, LLC
• Stephanie Belmar, MS RDN
• Blair Richard Beltzer, M.D.
• George Beninati
• Jagbir S Beniwal, MD
• Bruce Kevin Bennett, MD
• Melissa Claire Bentley, APN
• Linda B Berger, RN APN
• Thomas Michael Berges, APN-C

• Legal Medicine in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.