MICHELLE BENCIVENGO
NPI 1427900638
Nurse Practitioner - Gerontology in Hackensack, NJ

Q: What is Michelle Bencivengo's NPI number?

The NPI number for Michelle Bencivengo is 1427900638. It was assigned to this individual provider in the NPPES registry on February 11, 2026.

Q: What is Michelle Bencivengo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since February 11, 2026PECOS Enrolled

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Michelle Bencivengo NPPES

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

MICHELLE BENCIVENGO (NPI 1427900638) is an individual gerontology provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15491700) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1427900638

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMICHELLE BENCIVENGO

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-2000

Phone(551) 996-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1427900638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15491700

30 PROSPECT AVE, Hackensack, NJ 07601

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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)

Michelle Bencivengo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759850274

PECOS Enrollment IDI20260514000776

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)