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DR. BENJAMIN EARL DAHLBERG MD
NPI 1124762042
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since April 26, 2022PECOS Enrolled
7901 BROADWAY # D6-04, ELMHURST, NY 11373(718) 334-3437 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Benjamin Earl Dahlberg Md NPPES

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

DR. BENJAMIN EARL DAHLBERG MD (NPI 1124762042) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124762042
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BENJAMIN EARL DAHLBERGCredential: MD
Location Address7901 BROADWAY # D6-04Elmhurst, NY 11373-1329
Mailing Address7901 Broadway # D6-04Elmhurst, NY 11373-1329 · (718) 334-3437
Phone(718) 334-3437
Sole ProprietorNo
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1124762042 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.
7901 BROADWAY # D6-04, Elmhurst, NY 11373
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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)

Dr. Benjamin Earl Dahlberg 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL MOZELL MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY # D6-04
ELMHURST, NY 11373
Queens County (718) 334-3437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Dahlberg's NPI number?

The NPI number for Benjamin Dahlberg is 1124762042. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Benjamin Dahlberg located?

Benjamin Dahlberg practices at 7901 Broadway # D6-04, Elmhurst, NY 11373. The listed phone number is (718) 334-3437.

What is Benjamin Dahlberg's specialty?

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

Is Benjamin Dahlberg enrolled in Medicare?

Yes. Benjamin Dahlberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Dahlberg was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.