MR. RICHARD OLIVER BENNETT RPA-C
NPI 1669777009
Physician Assistant - Medical in Coram, NY

Q: What is Richard Bennett's NPI number?

The NPI number for Richard Bennett is 1669777009. It was assigned to this individual provider in the NPPES registry on January 16, 2011.

Q: What is Richard Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Bennett was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 16, 2011PECOS Enrolled

2 ELLIS CT, CORAM, NY 11727(917) 837-8213 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Richard Oliver Bennett Rpa-c NPPES

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

MR. RICHARD OLIVER BENNETT RPA-C (NPI 1669777009) is an individual medical provider in Coram, New York, licensed in New York (23-014569) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669777009

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. RICHARD OLIVER BENNETTCredential: RPA-C

Location Address2 ELLIS CTCoram, NY 11727-1473

Mailing Address1745 Union BlvdBay Shore, NY 11706-7952 · (631) 328-5560 · Fax (631) 328-5559

Phone(917) 837-8213

Sole ProprietorYes

Enumeration DateJanuary 16, 2011

Last NPPES UpdateMay 24, 2017

✔ NPI 1669777009 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 NY · 23-014569

2 ELLIS CT, Coram, NY 11727

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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)

Mr. Richard Oliver Bennett Rpa-c 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.

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 Richard Bennett's NPI number?

The NPI number for Richard Bennett is 1669777009. It was assigned to this individual provider in the NPPES registry on January 16, 2011.

Where is Richard Bennett located?

Richard Bennett practices at 2 Ellis Ct, Coram, NY 11727. The listed phone number is (917) 837-8213.

What is Richard Bennett's specialty?

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

Is Richard Bennett enrolled in Medicare?

Yes. Richard Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Bennett was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.