MARC ANDREW BENJAMIN PA-C NPI 1639166911

NPI Information

NPI: 1639166911
Provider Name: MARC ANDREW BENJAMIN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
80 SEYMOUR STREET
HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT
ZIP 06102
Phone: (860) 972-4670
Get Directions

Marc Andrew Benjamin, PA-C is a surgical physician assistant in Hartford, CT with 27 years of experience. Marc Andrew Benjamin, PA-C NPI is 1639166911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 SEYMOUR STREET
HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT
ZIP 06102-037
Phone: (860) 972-4670

The NPI 1639166911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 5/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		000991	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical	000991	CONNECTICUT	No
3	363AS0400X	Physician Assistant	Surgical	000991	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003009917	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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