Active NPI
Lennette J. Benjamin
- General Acute Care Hospital
- Bronx, NY
National Provider Identifier
1881893576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 114982-1
- Legal business name
- LENNETTE J. BENJAMIN
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 920-7375
- NPI assigned
- Jul 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lennette J Benjamin, MD
- Title
- Professor of Clinical Medicine
- Phone
- (718) 920-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 114982-1 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F34028 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1881893576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENNETTE J. BENJAMIN",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "LENNETTE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROFESSOR OF CLINICAL MEDICINE",
"authorized_official_telephone_number": "718-920-7373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "114982-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F34028",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.