Individual provider Active NPI

Edward Steven Bennett, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1962424788
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230288 Issued in NY
Practice address
13912 73Rd Ter
Flushing, NY 11367-2306
Phone
(646) 623-3350
Fax
(888) 290-8778
NPI assigned
Jul 24, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230288 NY Primary

Addresses

Primary practice location

13912 73Rd Ter
Flushing, NY 11367-2306

Mailing address

13912 73Rd Ter
Flushing, NY 11367-2306
Phone (646) 623-3350

Other identifiers 1

IdentifierTypeStateIssuer
02751393MedicaidNY

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
I20060202000764 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 4284648858 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward S Bennett MD PLLCGroup PAC ID 4082869490, 2 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

13540 78TH Dr
Flushing, NY 11367-3236
Phone (646) 623-3350

27005 76TH Ave
B67
New Hyde Park, NY 11040-1402
Phone (718) 470-7137

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients
Sullivan Emergency Services PC Emergency Medicine CurrentSince Feb 1, 2012 Accepting new patients
Refuah Health Center Inc CurrentSince Jul 13, 2023 Accepting new patients
Edward S Bennett MD PLLC Internal Medicine CurrentSince Dec 18, 2007 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 13, 2023 Accepting new patients
Leslie Bennett MDPC PastSince Nov 22, 2012 Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients
Lifeco Medical, P.C. Emergency Medicine Past Accepting new patients

Locations

13540 78th Dr
Flushing, NY 11367
Phone (646) 623-3350

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Networks

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

Interoperability endpoints

  • Direct secure messaging: esbennett@bennettmd.directmedgenehr.com

Organizations & group practices 10

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1962424788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 73RD TER",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672306",
            "telephone_number": "646-623-3350",
            "fax_number": "888-290-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13912 73RD TER",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672306",
            "telephone_number": "646-623-3350",
            "fax_number": "888-290-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "EDWARD",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02751393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.