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MR. JERRY A, BENJAMIN PA
NPI 1316915259
Physician Assistant - Medical in Windsor, CT

Active since March 08, 2006PECOS Enrolled
1060 DAY HILL RD, WINDSOR, CT 06095(860) 683-2690(860) 683-2670 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry A, Benjamin Pa NPPES

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

MR. JERRY A, BENJAMIN PA (NPI 1316915259) is an individual medical provider in Windsor, Connecticut, licensed in Connecticut (000069) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316915259
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JERRY A, BENJAMINCredential: PA
Location Address1060 DAY HILL RDWindsor, CT 06095-5719
Mailing Address1060 Day Hill RdWindsor, CT 06095-5719 · (860) 696-2450 · Fax (860) 696-2460
Phone(860) 683-2690
Fax(860) 683-2670
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateDecember 19, 2013
✔ NPI 1316915259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 000069
1060 DAY HILL RD, Windsor, CT 06095
Open in Google Maps ↗

Other Identifiers 3

Medicare PIND400083031CT
Medicare UPINS94312CT
Other1316915259CT · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry A, Benjamin Pa 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 16

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

ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Orthopaedic Surgery
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 549-3210
WILLIAM RAMOS P.A.
Physician Assistant
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (615) 778-4066
DR. ELIZABETH SCHUCK MD
Internal Medicine
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 683-2690
DR. SARA MAY SCOTTO DMD
Dentist
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-5595
PAULA L BELLI P.A.
Physician Assistant
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (615) 778-4066
HANNAH MAYER HUGHES DMD
Dentist (General Practice)
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-5595
DR. GREGORY ALLEN FARBER D.M.D.
Dentist (General Practice)
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-5595
DR. DAVID I. BLOOM JR. D.D.S.
Dentist (General Practice)
1060 DAY HILL RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-5595

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 Jerry Benjamin's NPI number?

The NPI number for Jerry Benjamin is 1316915259. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Jerry Benjamin located?

Jerry Benjamin practices at 1060 Day Hill Rd, Windsor, CT 06095. The listed phone number is (860) 683-2690.

What is Jerry Benjamin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jerry Benjamin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Benjamin was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.