MR. SHANE DANIEL BENSON (NPI# 1417134016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417134016 |
| Entity Type | Individual |
| Full Name | MR. SHANE DANIEL BENSON |
| Practice Address |
215 Drum Rd Staten Island NY 10305-5001 |
| Practice Telephone | 7183544414 |
| Mailing Telephone | 7183544414 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
215 DRUM RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275624637 | Timothy Lind Armentrout | Technician, Other | 215 Drum Rd, Room 113, Staten Island, NY 10305-5001 | 2006-09-28 |
| 1780856146 | George Anastasios Pourakis | Preventive Medicine | 215 Drum Rd, D-113, Staten Island, NY 10305-5001 | 2008-03-26 |
| 1043346216 | United States Coast Guard | Health Maintenance Organization | 215 Drum Rd, Staten Island, NY 10305-5001 | 2007-02-24 |
| 1942345905 | Roy M Mesenscott | Military Health Care Provider | 215 Drum Rd, Rm D 113, Staten Island, NY 10305-5001 | 2007-02-20 |
| 1871635664 | Reinaldo Colon Jr. | Military Health Care Provider | 215 Drum Rd, Staten Island, NY 10305-5001 | 2007-02-12 |
| 1134267313 | Tatyana Sergeyeva | Military Health Care Provider | 215 Drum Rd, Rm D-113, Staten Island, NY 10305-5001 | 2007-02-01 |
| 1215074810 | Melissa Yvette Williams | Military Health Care Provider | 215 Drum Rd, Staten Island, NY 10305-5001 | 2007-01-31 |
| 1811043383 | Matt R Hinton | Military Health Care Provider | 215 Drum Rd, Rm D113, Staten Island, NY 10305-5001 | 2007-01-26 |
| 1033204391 | Uscg Sector Ny Clinic | Clinic/Center | 215 Drum Rd, Rm D-113, Staten Island, NY 10305-5001 | 2006-10-04 |
| 1972698777 | Uscg Sector New York Medical | Clinic/Center | 215 Drum Rd, Rm D 113 Medical, Staten Island, NY 10305-5001 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548306939 | Terry Lynn Greenspan | Military Health Care Provider | 215 Drum Rd Rm D113, Staten Island, NY 10305-5001 | 2007-01-30 |
| 1942345905 | Roy M Mesenscott | Military Health Care Provider | 215 Drum Rd, Rm D 113, Staten Island, NY 10305-5001 | 2007-02-20 |
| 1871635664 | Reinaldo Colon Jr. | Military Health Care Provider | 215 Drum Rd, Staten Island, NY 10305-5001 | 2007-02-12 |
| 1134267313 | Tatyana Sergeyeva | Military Health Care Provider | 215 Drum Rd, Rm D-113, Staten Island, NY 10305-5001 | 2007-02-01 |
| 1215074810 | Melissa Yvette Williams | Military Health Care Provider | 215 Drum Rd, Staten Island, NY 10305-5001 | 2007-01-31 |
| 1811043383 | Matt R Hinton | Military Health Care Provider | 215 Drum Rd, Rm D113, Staten Island, NY 10305-5001 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538710389 | Denise Fay Noble | Military Health Care Provider | 4403 E Lake Rd, Wilson, NY 14172-9641 | 2019-09-24 |
| 1265915391 | Bryan Dylan Wheeler | Military Health Care Provider | Us Army, Ctmc, Fort Drum, NY 13603 | 2018-09-14 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1962912485 | Patricia Parrales | Military Health Care Provider | 921 Fox St Ph, Bronx, NY 10459-4304 | 2017-10-10 |
| 1568511814 | Judith Andrea Holmes | Military Health Care Provider | 144 35 175th Street, Springfield Gardens, NY 11413 | 2007-01-09 |
| 1003973652 | Adam H Schwinn | Military Health Care Provider | 29 Mclaughlin Way, Washingtonville, NY 10992-1151 | 2007-01-02 |
| 1447322987 | Amado Sanchez Santos | Military Health Care Provider | 100 S Clinton St, Syracuse, NY 13261-6100 | 2006-11-13 |
| 1568995298 | Abraham Choi | Military Health Care Provider | 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 | 2017-04-10 |
| 1457745242 | Daniel Joseph Finnin | Military Health Care Provider | 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 | 2015-03-19 |
| 1851675219 | Tara E Wise | Military Health Care Provider | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on MR. SHANE DANIEL BENSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.