Vincent Benedetto, PT, MS, ACSM H/FI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024223-1 Issued in NY

Practice address

158 E 100TH St
Suite C
New York, NY 10029-6274

Phone

(212) 369-2040

Fax

(212) 369-2949

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Blauvelt Quality Care Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1821194200
  NPD Authorized official
• Longwood RX Inc

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1467043000
  NPD
• Paragon Safety Group LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1063257731
  NPD
• All Star Physical Therapy PA

  • Physical Therapist
  • West Caldwell, NJ
  • NPI 1215906912
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1982673646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E 100TH ST",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296274",
            "telephone_number": "212-369-2040",
            "fax_number": "212-369-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 100TH ST",
            "address_2": "SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296274",
            "telephone_number": "212-369-2040",
            "fax_number": "212-369-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "PT, MS, ACSM H/FI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024223-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01147300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria T. Benedetto-Anzai, M.D.
• Angela Benedetto, M.A. CCC-SLP
• Ariana Benedetto
• Carmann Benedetto
• Kristen Benedetto, PA
• Benedict Mental Health Counseling PC
• Brent Benedict, PHARM.D.
• Maura Benedict, RDN
• Peter Charles Benedict, LMHC
• Shelby Benedicto, M.S. CCC-SLP, TSSLD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.