MR. MALCOLM JAMES BENEWAY (NPI# 1972749935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972749935 |
| Entity Type | Individual |
| Full Name | MR. MALCOLM JAMES BENEWAY |
| Other Name | MR. MALCOLM JAMES BENEWAY |
| Credential | ORTHOTIST |
| Practice Address |
800 Irving Ave Syracuse NY 13210-2716 |
| Practice Telephone | 3154254659 |
| Practice Fax Number | 3154252923 |
| Mailing Telephone | 3154254659 |
| Mailing Fax Number | 3154252923 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
800 IRVING AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316931926 | Thomas Patrick Lynch Jr. | Pharmacist | 800 Irving Ave, Pharmacy (119), Syracuse, NY 13210-2716 | 2005-09-09 |
| 1306458229 | Benjamin Robert Bratek | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-08-21 |
| 1629695655 | Carrie-jo Elizabeth Farrugia | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1144847120 | Alexis Anne Baker | Pharmacist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-06-25 |
| 1285274092 | Matthew Byrne Gostowski | Physical Therapist | 800 Irving Ave, Syracuse, NY 13210-2716 | 2020-01-09 |
| 1740829225 | Robert Laufer | Technician | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-12-31 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1336784479 | Wendy Sue Colt | Registered Nurse | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-13 |
| 1295386753 | Judith Kenific | Technician | 800 Irving Ave, Syracuse, NY 13210 | 2019-09-26 |
| 1306496328 | Danielle Marie Bieling | Nurse Practitioner | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140576 | Anthony Cipriano | Orthotic Fitter | 130 Orinoco Dr, Brightwaters, NY 11718-1121 | 2018-10-17 |
| 1982065033 | Itamar Rosenbaum | Orthotic Fitter | 2102 63rd St, Brooklyn, NY 11204-3058 | 2016-03-17 |
| 1114395464 | Alejandro Aguilar | Orthotic Fitter | 314 Mccall Rd, Rochester, NY 14616 | 2015-09-03 |
| 1538489745 | Laura Bullinger | Orthotic Fitter | 4 David St, Middletown, NY 10940-2302 | 2010-06-10 |
| 1144552142 | Necuma Schaffer | Orthotic Fitter | 683 Bedford Ave., #3, Brooklyn, NY 11206 | 2010-02-02 |
| 1538498514 | Michael Feder | Orthotic Fitter | 3063 Brighton 13th St, Brooklyn, NY 11235-5607 | 2009-12-21 |
| 1568655454 | Alex Iskhakov | Orthotic Fitter | 3922 18th Ave, Brooklyn, NY 11218-5804 | 2007-08-23 |
| 1548467665 | Arthur Smuckler | Orthotic Fitter | 1659 Central Ave, Suite 113, Albany, NY 12205-4039 | 2007-07-02 |
| 1508068107 | Russell Shvartsshteyn | Orthotic Fitter | 1040 Channel Dr, Hewlett, NY 11557-2617 | 2007-06-05 |
| 1659414829 | Shirley Ann Dickinson | Orthotic Fitter | 1355 State Highway 345, Potsdam, NY 13676-9658 | 2007-02-15 |
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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.