Individual provider Active NPI

Tanya Benenson, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1962626606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218696 Issued in NY
Practice address
30 Rockefeller PLZ
RM 750S
New York, NY 10112-0002
Phone
(212) 664-6943
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 218696 NY Primary

Addresses

Primary practice location

30 Rockefeller PLZ
RM 750S
New York, NY 10112-0002

Mailing address

30 Rockefeller PLZ
RM 750S
New York, NY 10112-0002
Phone (212) 664-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sriram Iyer Medical, PC PastSince Oct 1, 2014 Accepting new patients
Philip J. Weintraub, MD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9979/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHGAD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962626606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROCKEFELLER PLZ",
            "address_2": "RM 750S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101120002",
            "telephone_number": "212-664-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROCKEFELLER PLZ",
            "address_2": "RM 750S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101120002",
            "telephone_number": "212-664-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENENSON",
        "first_name": "TANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.