NPIMap

Individual provider Active NPI

Eldad S Benmen, MD

  • Pediatrics Physician
  • Glen Oaks, NY
National Provider Identifier
1912063819
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
184465 Issued in NY
Practice address
260 21 Union Tpke
Glen Oaks, NY 11004
Phone
(718) 347-4288
Fax
(718) 347-7521
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 184465 NY
Pediatrics Physician 208000000X 184465 NY Primary

Addresses

Primary practice location

260 21 Union Tpke
Glen Oaks, NY 11004

Mailing address

260 21 Union Tpke
Glen Oaks, NY 11004
Phone (718) 347-4288

Other identifiers 1

IdentifierTypeStateIssuer
01342561MedicaidNY

Other names 1

  • Dr. Eldad S Ben Menachem Former name

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
I20040317001550 NY Practitioner - Internal Medicine 2163312604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26021 Union Tpke
Glen Oaks, NY 11004-1345
Phone (718) 347-4288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184465NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eldad S. Benmen M.D. P.C CurrentSince Nov 1, 2001 Accepting new patients

Locations

26021 Union Tpke
Glen Oaks, NY 11004
Phone (718) 347-4288

Interoperability endpoints

  • Direct secure messaging: eben@ebmd.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912063819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 21 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-347-4288",
            "fax_number": "718-347-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 21 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-347-4288",
            "fax_number": "718-347-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENMEN",
        "first_name": "ELDAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184465",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "184465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01342561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELDAD",
            "last_name": "BEN MENACHEM",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

Verify at the official NPI Registry.