Individual provider Active NPI

Benjamin Mann, MD

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1942769716
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
323093 Issued in NY
Practice address
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone
(718) 948-8200
Fax
(718) 317-4111
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 323093 NY Primary

Addresses

Primary practice location

4771 Hylan Blvd
Staten Island, NY 10312-6315

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other practice location 2

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300

Other practice location 3

101 Pennsylvania Avenue
Brooklyn, NY 11207-2428
Phone (718) 240-2000

Other practice location 4

590 5th Ave Lbby 1
New York, NY 10036-4702
Phone (212) 582-7117

Other identifiers 1

IdentifierTypeStateIssuer
XXXXXXMedicaidNY

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
I20240126001078 NY Practitioner - Internal Medicine 2264885227 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sephardic Medical PCGroup PAC ID 7618363656, 3 clinicians
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

2448 Coney Island Ave
Brooklyn, NY 11223-5022
Phone (347) 470-9217

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323093NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Dec 3, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 7, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 7, 2025 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Sep 5, 2024 Accepting new patients
Sephardic Medical PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2448 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 470-9217

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

55 Water St
Fl 2
New York, NY 10041

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

590 5th Ave
Lbby 1
New York, NY 10036
Phone (212) 582-7117

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bmann853751@nychhc.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: bmann55435@direct.acpny.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1942769716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126315",
            "telephone_number": "718-948-8200",
            "fax_number": "718-317-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Road",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171702",
            "country_code": "US",
            "telephone_number": "718-858-6300",
            "fax_number": "718-858-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Pennsylvania Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072428",
            "country_code": "US",
            "telephone_number": "718-240-2000",
            "fax_number": "718-240-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 5th Ave Lbby 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364702",
            "country_code": "US",
            "telephone_number": "212-582-7117",
            "fax_number": "212-484-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "323093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXX",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.