BENJAMIN MICHAEL LARAWAY MD
NPI 1922502178
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 22, 2018PECOS Enrolled
1468 MADISON AVE # 1149, NEW YORK, NY 10029(212) 824-8069 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Benjamin Michael Laraway Md NPPES

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

BENJAMIN MICHAEL LARAWAY MD (NPI 1922502178) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922502178
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN MICHAEL LARAWAYCredential: MD
Location Address1468 MADISON AVE # 1149New York, NY 10029-6508
Mailing Address1468 Madison Ave # 1149New York, NY 10029-6508 · (212) 824-8069
Sole ProprietorNo
Enumeration DateMarch 22, 2018
NPI 1922502178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1468 MADISON AVE # 1149, New York, NY 10029

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 Michael Laraway Md 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 7

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

Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029
Emergency Medicine
1468 MADISON AVE # 1149
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922502178, enumerated as an "individual" on March 22, 2018.

The provider is located at 1468 MADISON AVE # 1149 NEW YORK, NY 10029 and the phone number is (212) 824-8069.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.