Benjamin J Subtelny, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22DI02801900 Issued in NJ

Practice address

3915 Broadway
New York, NY 10032-1565

Phone

(212) 567-5536

NPI assigned

Apr 17, 2020

Last updated

Apr 22, 2026By the provider in NPPES

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  Oral & Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Subtelny Face & Jaw LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • West New York, NJ
  • NPI 1477412062

  Oral and Maxillofacial Surgery

  NPD Authorized official
• Manhattan Oral Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bronx, NY
  • NPI 1528201613
  NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  dba HMMG New Jersey Oral & Maxillofacial Surgery

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1992325195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 BOULEVARD E APT 17G",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933841",
            "telephone_number": "201-509-5648",
            "fax_number": "973-833-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321565",
            "telephone_number": "212-567-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Rane's Exclusively Yours Dental",
            "address_2": "10 Schalks Crossing Rd #11",
            "address_purpose": "LOCATION",
            "city": "Plainsboro Township",
            "state": "NJ",
            "postal_code": "08536",
            "country_code": "US",
            "telephone_number": "609-275-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Prospect Ave Ste 719",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011974",
            "country_code": "US",
            "telephone_number": "551-996-5002",
            "fax_number": "551-996-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBTELNY",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02801900",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02801900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivakumer Subramaniyan, PH.D.
• Bala R Subramanyam, M.D.
• Pritha Subramanyam
• Anupama Subramony, MD
• Shama Subramony
• Ipsita Subudhi
• Sirida Subudom, MS, RD
• Kirra Sucato, MSW
• Sarita Suchdev, FNP
• Erica Sucher, MSW

• Oral & Maxillofacial Surgery (D.M.D.) in New York, NY
• Providers in New York, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.