Organization Active NPI

Ben I Preminger, PC

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1942504543
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
128725 Issued in NY
Legal business name
BEN I PREMINGER, PC
Practice address
1659 55TH St
Brooklyn, NY 11204-1824
Phone
(718) 851-8351
Fax
(718) 851-0789
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Ben I Preminger, MDNPI 1871514372
Title
President
Phone
(718) 851-8351

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 128725 NY Primary

Addresses

Primary practice location

1659 55TH St
Brooklyn, NY 11204-1824

Mailing address

1659 55TH St
Brooklyn, NY 11204-1824
Phone (718) 851-8351

Other identifiers 1

IdentifierTypeStateIssuer
00602575MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110223000373 NY Part B Supplier - Clinic/Group Practice 1153502273 Receives reassigned benefits from 1 practitioner
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Locations

1659 55th St
Brooklyn, NY 11204
Phone (718) 851-8351

1015 Cedar Ln
Ste 104
Woodmere, NY 11598
Phone (718) 851-8351

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1942504543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041824",
            "telephone_number": "718-851-8351",
            "fax_number": "718-851-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041824",
            "telephone_number": "718-851-8351",
            "fax_number": "718-851-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN I PREMINGER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "PREMINGER",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-851-8351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "128725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00602575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.