BENJAMIN O'BRIEN
NPI 1023868619
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Q: What is Benjamin O'brien's NPI number?

The NPI number for Benjamin O'brien is 1023868619. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Benjamin O'brien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin O'brien was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2024PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320(516) 674-7460 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Benjamin O'brien NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN O'BRIEN (NPI 1023868619) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023868619

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBENJAMIN O'BRIEN

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 473-1320 · Fax (516) 674-7460

Phone(631) 473-1320

Fax(516) 674-7460

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1023868619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

75 N COUNTRY RD, Port Jefferson, NY 11777

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin O'brien is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.