Pablo Bencosme, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA37429 Issued in NJ

Practice address

188 Market St
Perth Amboy, NJ 08861-4328

Phone

(732) 442-4251

Fax

(732) 442-1787

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Pablo Bencosme, PC

  • Internal Medicine Physician
  • Perth Amboy, NJ
  • NPI 1811159213
  Authorized official Same address or phone
• Central Jersey Health Care Associates Inc

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1326198953
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982712865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 RECTOR ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614434",
            "telephone_number": "732-442-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614328",
            "telephone_number": "732-442-4251",
            "fax_number": "732-442-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCOSME",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA37429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baybridge Health Care Inc
• Bayside Spine & Rehab Center LLC (Healthy Spine & Wellness Center)
• Bayside Spine and Rehab Center LLC
• Bayview Emergency Associates, P.a.
• Hilario Beltre
• Rosalie Bencosme, LPN
• Monica Benedicto, PT, DPT
• Best Home Care Inc
• Beyond All Therapy
• Beyond the Mind LLC

• Internal Medicine Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.