OTMAINE BENASSOU PMHNP
NPI 1699286559
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Q: What is Otmaine Benassou's NPI number?

The NPI number for Otmaine Benassou is 1699286559. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Otmaine Benassou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Otmaine Benassou was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 18, 2017PECOS Enrolled

669 CASTLETON AVE, STATEN ISLAND, NY 10301(718) 442-2225(718) 442-2289 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Otmaine Benassou Pmhnp NPPES

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

OTMAINE BENASSOU PMHNP (NPI 1699286559) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (F402232-1) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699286559

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameOTMAINE BENASSOUCredential: PMHNP

Location Address669 CASTLETON AVEStaten Island, NY 10301-2028

Mailing Address14350 Hoover Ave Apt 303Briarwood, NY 11435-2158 · (347) 579-8495

Phone(718) 442-2225

Fax(718) 442-2289

Sole ProprietorNo

Enumeration DateOctober 18, 2017

✔ NPI 1699286559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F402232-1

669 CASTLETON AVE, Staten Island, NY 10301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otmaine Benassou Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

YEZENIA ORTIZ LCSW

Social Worker (Clinical)