STEPHANIE LYNNE BENKO (NPI# 1700428075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700428075 |
Entity Type | Individual |
Full Name | STEPHANIE LYNNE BENKO |
Credential | PA-C |
Practice Address |
3 Cooper Plz Rm 411 Camden NJ 08103-1438 |
Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
Practice Telephone | 2038033024 |
Mailing Telephone | 8563564924 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2020-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP0055300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1 Cooper Plz, Camden, NJ 081031461 | 2038033024 |
Street Address |
3 COOPER PLZ RM 411 |
City | CAMDEN |
State | NJ |
Zip Code | 08103-1438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073598256 | Steven Bonawitz | Plastic Surgery | 3 Cooper Plz Rm 411, Camden, NJ 08103 | 2005-12-12 |
1245858091 | Anna Caroline Stevens | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-08 |
1023635240 | Olivia Coburn-flynn | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-03 |
1689296766 | Swar N Vimawala | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-05-12 |
1295396364 | Andrew Chia Hsueh Lin | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-27 |
1851950745 | Georgianna Amelia Sandilos | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-13 |
1386207702 | Alec Hayes Fisher | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-22 |
1053974824 | Mikael Fadoul | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-17 |
1336635929 | Clara Zhu | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
1811483423 | Marc Zeffren | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
1699326389 | Nicole Marie Miehle | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103 | 2019-09-24 |
1851842082 | Danielle Warfel | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103 | 2016-10-24 |
1619328564 | Stanislav Borodyansky | Physician Assistant | 3 Cooper Plz Rm 408, Camden, NJ 08103 | 2016-06-22 |
1114341724 | Evelyn Ulzheimer | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-02-18 |
1326336603 | Megan Clark | Physician Assistant | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2011-07-20 |
1275865198 | Jamie Mora | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103 | 2010-02-02 |
1740465962 | Rachel Waldman | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2008-01-07 |
1063576825 | Robert W. Young | Physician Assistant | 3 Cooper Plz, Suite 403, Camden, NJ 08103-1438 | 2006-12-19 |
1376633131 | Harry F Mccoy | Physician Assistant | 3 Cooper Plz, Suite 408, Camden, NJ 08103-1438 | 2006-10-13 |
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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.