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EDWARD S BENNETT MD PLLC
NPI 1770828162
Internal Medicine in Flushing, NY

Active since December 11, 2012CLIA Certified · 2 labs
13912 73RD TER, FLUSHING, NY 11367(646) 623-3350 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jul 16, 2018 (2 updates tracked since 2018).

About Edward S Bennett Md Pllc NPPES

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

EDWARD S BENNETT MD PLLC (NPI 1770828162) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since December 2012. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Flushing, and lists Edward Bennett, Provider And Owner, as its authorized official.

NPPES Registry Identity

NPI1770828162
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDWARD S BENNETT MD PLLC
Location Address13912 73RD TERFlushing, NY 11367-2306
Mailing Address13540 78th DrFlushing, NY 11367-3236
Phone(646) 623-3350
Organization SubpartNo
Authorized OfficialEdward BennettProvider And Owner · (646) 623-3350
Enumeration DateDecember 11, 2012
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1770828162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13912 73RD TER, Flushing, NY 11367
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Secondary Practice Location 1

Location 113540 78th DrFlushing, NY 11367 · Phone (718) 380-0411

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2159478

Edward S Bennett MD PLLC · Flushing, NY
Active · expires Dec 18, 2026
CLIA Number33D2159478
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorDr. Edward S. Bennett
Laboratory Phone(718) 446-1512
Laboratory LocationEdward S Bennett MD PLLC13540 78th Drive, Flushing, NY 11367
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2193728

Edward S Bennett MD PLLC · Flushing, NY
Active · expires Sep 23, 2026
CLIA Number33D2193728
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorDr. Edward S. Bennett
Laboratory Phone(347) 321-9399
Laboratory LocationEdward S Bennett MD PLLC139-12 73rd Terrace, Flushing, NY 11367
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EDWARD STEVEN BENNETT MD
Internal Medicine
13912 73RD TER
FLUSHING, NY 11367
Queens County (646) 623-3350

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 Edward S Bennett MD PLLC's NPI number?

The NPI number for Edward S Bennett MD PLLC is 1770828162. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Edward S Bennett MD PLLC located?

Edward S Bennett MD PLLC is located at 13912 73rd Ter, Flushing, NY 11367. The listed phone number is (646) 623-3350.

What is Edward S Bennett MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Edward S Bennett MD PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Edward S Bennett MD PLLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.