Individual provider Active NPI

Marie Victoire Jean-Benoit, D.P.M.

  • Podiatrist
  • Coral Springs, FL
National Provider Identifier
1982630786
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2959 Issued in FL
Practice address
4064 NW 62ND LN
Coral Springs, FL 33067-3217
Phone
(954) 346-3668
Fax
(954) 346-3668
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2959 FL Primary

Addresses

Primary practice location

4064 NW 62ND LN
Coral Springs, FL 33067-3217

Mailing address

4064 NW 62ND LN
Coral Springs, FL 33067-3217
Phone (954) 346-3668

Other identifiers 2

IdentifierTypeStateIssuer
340355600MedicaidFL
480032997OtherFLRAILROAD MEDICARE

Other names 1

  • Marie Victoire Jean-Benoit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000610 FL Practitioner - Podiatry 7517994924 Practice locations: Miramar, FL; Boca Raton, FL; Miami Gardens, FL; Lake Worth, FL; Delray Beach, FL; Davie, FL; Coral Springs, FL

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vue Laser Eye Center Incorporated Past Accepting new patients
Skin Care Physicians LLC Past Accepting new patients

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1982630786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 NW 62ND LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673217",
            "telephone_number": "954-346-3668",
            "fax_number": "954-346-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 NW 62ND LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673217",
            "telephone_number": "954-346-3668",
            "fax_number": "954-346-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BENOIT",
        "first_name": "MARIE",
        "middle_name": "VICTOIRE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340355600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032997",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "JEAN-BENOIT",
            "middle_name": "VICTOIRE",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.