Individual provider Active NPI

Anthony P Benjamin, MD

  • Urology Physician
  • Troy, NY
National Provider Identifier
1932165628
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
229456 Issued in NY
Practice address
2231 Burdett Ave Ste 230
Troy, NY 12180
Phone
(518) 272-1333
NPI assigned
Apr 22, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 229456 NY Primary

Addresses

Primary practice location

2231 Burdett Ave Ste 230
Troy, NY 12180

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

438 Main St
Oneonta, NY 13820
Phone (607) 432-5563

Other practice location 2

267 Hoosick St
Troy, NY 12180-2502
Phone (518) 272-1333

Other practice location 3

438 Main St
Oneonta, NY 13820
Phone (607) 432-5563

Other practice location 4

855 Route 146 Bldg B
Clifton Park, NY 12065-3885
Phone (518) 489-7494

Other identifiers 7

IdentifierTypeStateIssuer
02491927MedicaidNY
1099291OtherGHI PPO#
71021424811OtherMVP VENDOR #
P00063770OtherRR MEDICARE
000000076448OtherGHI HMO #
AB035R241OtherDOWN MEDICARE
100783615671OtherCDPHP GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001616 NY Practitioner - Urology 1456242635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

2231 Burdett Ave
Suite 160
Troy, NY 12180-2453
Phone (518) 326-1620

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229456NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Dec 1, 2015 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Aug 4, 2014 Accepting new patients
Delaware Valley Hospital, Inc PastSince Jul 23, 1997 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

855 Route 146
Bldg B
Clifton Park, NY 12065
Phone (518) 373-4580

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2231 Burdett Ave
Ste 230
Troy, NY 12180
Phone (518) 271-5527

267 Hoosick St
Troy, NY 12180
Phone (518) 272-1333

Interoperability endpoints

  • Direct secure messaging: abenjamin834477@direct.trinity-health.org

Organizations & group practices 5

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 2

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1932165628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE STE 230",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-272-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 Main St",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "13820",
            "country_code": "US",
            "telephone_number": "607-432-5563",
            "fax_number": "607-432-2437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Hoosick St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802502",
            "country_code": "US",
            "telephone_number": "518-272-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 Main St",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "13820",
            "country_code": "US",
            "telephone_number": "607-432-5563",
            "fax_number": "607-432-2437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Route 146 Bldg B",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653885",
            "country_code": "US",
            "telephone_number": "518-489-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "229456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02491927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO#",
            "identifier": "1099291",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP VENDOR #",
            "identifier": "71021424811",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00063770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO #",
            "identifier": "000000076448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOWN MEDICARE",
            "identifier": "AB035R241",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GROUP #",
            "identifier": "100783615671",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "267 Hoosick St",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.