Anat Benjamin MD PC
Organization Active NPI Ophthalmology Physician · Williston Park, NY
NPI 1962631861 · NPPES record last updated May 26, 2011
Key facts
- NPI
- 1962631861
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 192139 (NY)
- Legal business name
- ANAT BENJAMIN MD PC
- Practice address
- 305 Hillside Ave
Williston Park, NY 11596-2102 - Phone
- (516) 747-4011
- Fax
- (516) 747-1277
- NPI assigned
- Jul 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Anat Benjamin, MD
- Title
- Owner
- Phone
- (516) 747-4011
Practitioners 2
-
Michael D Sable, M. D.
-
Anat Benjamin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100202000294 | NY | Part B Supplier - Clinic/Group Practice | 4385787167 |
Receives reassigned benefits from 2 practitioners Practice locations: New Hyde Park, NY |
National Provider Directory
Locations
1603 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 747-4011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 192139 | NY | Yes |
Addresses
Primary practice location
305 Hillside Ave
Williston Park, NY 11596-2102
Mailing address
305 Hillside Ave
Williston Park, NY 11596-2102
Phone (516) 747-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01642268 | Medicaid | NY |
Other providers in Williston Park, NY
- Carli Alin
- All Seasons Medical Care P C
- Shamarie Lotiesha Allen-Sherman
- Ashley Alongi
- Patricia Amestegui
- Devorah Tova Anayati
- Anc Health Center
- Anthony Belo Physical Therapy PC
- Antonella Apicella
- Asics Pharmacy Inc
All providers in Williston Park, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.