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BENJAMIN J SUBTELNY DDS
NPI 1992325195
Oral & Maxillofacial Surgery in New York, NY

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
3915 BROADWAY, NEW YORK, NY 10032(212) 567-5536 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Dec 30, 2025, Nov 5, 2024 and 1 more (4 updates tracked since 2020).

About Benjamin J Subtelny Dds NPPES

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

BENJAMIN J SUBTELNY DDS (NPI 1992325195) is an individual oral & maxillofacial surgery provider in New York, New York, licensed in New Jersey (22DI02801900) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992325195
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameBENJAMIN J SUBTELNYCredential: DDS
Location Address3915 BROADWAYNew York, NY 10032-1565
Mailing Address6040 Boulevard E Apt 17gWest New York, NJ 07093-3841 · (201) 509-5648 · Fax (973) 833-4177
Phone(212) 567-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 17, 2020
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1992325195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NJ · 22DI02801900
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 22DI02801900 (NJ)
3915 BROADWAY, New York, NY 10032
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Rane's Exclusively Yours Dental, 10 Schalks Crossing Rd #11Plainsboro Township, NJ 08536 · Phone (609) 275-1777
Location 220 Prospect Ave Ste 719Hackensack, NJ 07601-1974 · Phone (551) 996-5002 · Fax (551) 996-5099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin J Subtelny Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709313109
PECOS Enrollment IDI20241226000367
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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Subtelny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
36 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

KATHLEEN N HOFMANN DDS
Dentist (General Practice)
3915 BROADWAY
NEW YORK, NY 10032
New York County (347) 590-9910
DR. MCKINLEY L PRICE II DDS
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. BRADLEY ADAM HIRSCH DMD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JONATHAN D. PONG DMD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. KENNETH WIEDER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
MIMI JOONYOUNG LEE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JESAL VIRENDRA SHAH D.M.D., MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JANET C BODEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536

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 Subtelny's NPI number?

The NPI number for Benjamin Subtelny is 1992325195. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Benjamin Subtelny located?

Benjamin Subtelny practices at 3915 Broadway, New York, NY 10032. The listed phone number is (212) 567-5536.

What is Benjamin Subtelny's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Benjamin Subtelny enrolled in Medicare?

Yes. Benjamin Subtelny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Benjamin Subtelny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Subtelny reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Subtelny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Subtelny accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Benjamin Subtelny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Subtelny was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.