Organization Active NPI

Anat Benjamin MD PC

  • Ophthalmology Physician
  • Williston Park, NY
National Provider Identifier
1962631861
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
192139 Issued in 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
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Anat Benjamin, MDNPI 1750371977
Title
Owner
Phone
(516) 747-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 192139 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000294 NY Part B Supplier - Clinic/Group Practice 4385787167 Receives reassigned benefits from 2 practitioners
Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

1603 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 747-4011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1962631861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962102",
            "telephone_number": "516-747-4011",
            "fax_number": "516-747-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962102",
            "telephone_number": "516-747-4011",
            "fax_number": "516-747-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAT BENJAMIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "ANAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-747-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "192139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.