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BENJAMIN KRASNYANSKIY
NPI 1568212124
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 26, 2024PECOS Enrolled
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 686-2549 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Benjamin Krasnyanskiy NPPES

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

BENJAMIN KRASNYANSKIY (NPI 1568212124) 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

NPI1568212124
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN KRASNYANSKIY
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119
Phone(631) 686-2549
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1568212124 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 Krasnyanskiy 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 20

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

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KATHLEEN FANELLI
Nurse Practitioner (Acute Care)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
BENJAMIN O'BRIEN
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320

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 Krasnyanskiy's NPI number?

The NPI number for Benjamin Krasnyanskiy is 1568212124. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Benjamin Krasnyanskiy located?

Benjamin Krasnyanskiy practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.

What is Benjamin Krasnyanskiy'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 Krasnyanskiy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Benjamin Krasnyanskiy was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.