JASON BENJAMIN ATLAS MD
NPI 1104616861
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 07, 2025PECOS Enrolled

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 756-4800 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jason Benjamin Atlas Md NPPES

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

JASON BENJAMIN ATLAS MD (NPI 1104616861) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104616861

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJASON BENJAMIN ATLASCredential: MD

Location Address601 ELMWOOD AVERochester, NY 14642-0001

Mailing Address601 Elmwood AveRochester, NY 14642-0001

Phone(585) 756-4800

Sole ProprietorNo

Enumeration DateMay 7, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1104616861 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.

601 ELMWOOD AVE, Rochester, NY 14642

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Benjamin Atlas Md 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.