DR. BENJAMIN DAESOON ACKER D.O. NPI 1104057439

NPI Information

  • NPI: 1104057439
  • Provider Name: DR. BENJAMIN DAESOON ACKER, D.O.
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 ROUTE 112 BLDG. 4 - 2ND FLOOR
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 928-0188

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NPI Details

DR. Benjamin Daesoon Acker, D.O. is an otolaryngology in Port Jefferson Station, NY with 17 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Benjamin Daesoon Acker, D.O. NPI is 1104057439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduation Year:2009

The provider's business location address is:

1500 ROUTE 112 BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY
ZIP 11776-054
Phone: (631) 928-0188
Fax: (631) 928-0185

The NPI 1104057439 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Test to assess middle ear function (HCPCS:92567)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Removal of foreign body in ear canal (HCPCS:69200)
  • Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
  • Simple control of nose bleed (HCPCS:30901)
  • Exam of the nose and throat using an endoscope (HCPCS:92511)

The enumeration date for this NPI number is 8/4/2009 and was last updated on 4/2/2019.

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
1207Y00000XOtolaryngology291557NEW YORKYes

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: 11/21/2025

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