Reda Benani

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7426 Woodside Ave
Apt 3R
Elmhurst, NY 11373-1137

Phone

(347) 355-5321

NPI assigned

Nov 27, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mustapha Elbouanani Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Island Urgent Care PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • East Meadow, NY
  • NPI 1376991414
  Medicare reassignment
• Rite Medical Care PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1619599578
  Medicare reassignment

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1952871519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 WOODSIDE AVE APT 3R",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731835",
            "telephone_number": "347-355-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 WOODSIDE AVE",
            "address_2": "APT 3R",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731137",
            "telephone_number": "347-355-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENANI",
        "first_name": "REDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUSTAPHA",
            "last_name": "ELBOUANANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liliana V Bellini, LCSW
• Reyna Glory Bellot, PA
• Brenda M. Beloosesky, M.D.
• Alejandra Beltran
• Maita Beltran
• Azriel Benaroya, M.D.
• Ralph B Bendigo, PT
• Randolph Bendo, PT
• Vladimir I. Benisovich, M.D.
• Benjamin Pharmacy Corp (Elmhurst Drugs)

• Physician Assistant in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.