DR. BENJAMIN DAESOON ACKER


Address: 1500 Route 112 Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054
Phone: 6319280188

DR. BENJAMIN DAESOON ACKER (NPI# 1104057439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104057439
Entity Type Individual
Full Name DR. BENJAMIN DAESOON ACKER
Credential D.O.
Practice Address 1500 Route 112 Bldg. 4 - 2nd Floor
Port Jefferson Station
NY 11776-8054
Mailing Address 660 White Plains Rd Fl 4
Tarrytown
NY 10591-5139
Practice Telephone 6319280188
Practice Fax Number 6319280185
Mailing Telephone 9149842546
Enumeration Date 2009-08-04
Last Update Date 2019-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 291557 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1500 ROUTE 112 BLDG. 4 - 2ND FLOOR
City PORT JEFFERSON STATION
State NY
Zip Code 11776-8054

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205304219 Melissa E Germano Acupuncturist 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 2018-11-07
1366962185 Michael Louis Scicchitano Sr. Physical Therapist 3 Colgate Street, Port Jefferson Station, NY 11776 2017-06-22
1063969517 Dana Adamkiewicz Acupuncturist 432 North Bicycle Path, Port Jefferson Station, NY 11776 2016-09-01
1538531819 Jacqueline Rambo Specialist 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2015-10-26
1821474297 Michael Leuci Social Worker 3 Premier Court, Port Jefferson Station, NY 11776 2015-08-07
1578978078 Carol A. Palmer I Acupuncturist 34 Champlain St, Port Jefferson Station, NY 11776 2014-06-24
1659783371 Janette M Sperandeo Nurse Practitioner 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 2014-05-29
1578973079 James Buchrieser Specialist 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 2014-05-06
1871923227 Duran Thomas Murphy Licensed Practical Nurse 8 Carolyn Road, Port Jefferson Station, NY 11776 2013-11-22
1699104562 Julio Genao Massage Therapist 213 Jayne Blvd, Portjefferson Station, NY 11776 2013-11-01
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194762948 Stephen R Hiller Otolaryngology 5360 Neconset Highway, Suite D, Port Jefferson Station, NY 11776 2006-06-01
1659648483 Stephen R. Hiller, Md, PC Otolaryngology 5360 Nesconset Hwy, Ste. D, Port Jefferson Station, NY 11776-2018 2011-11-22
1871763508 Craig Michael Litman Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2008-03-10
1902818842 Ajay Earl Chitkara Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2006-08-12
1770564296 William Hy Sher Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2005-11-10
1770564502 Richard Steven Litman Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2005-11-09
1245211085 John Paul Sugrue Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2005-11-09
1902887730 Lee Merrick Shangold Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2005-11-09
1700867546 Lauren Sari Zaretsky Otolaryngology 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 2005-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235766361 Ali Agarabi Otolaryngology 675 Westview Dr, Mattituck, NY 11952-2963 2020-03-26
1932739281 Ear Nose & Throat Medical Services of New York, Pllc Otolaryngology 8 Quaker Ridge Rd, Glen Head, NY 11545-3326 2020-01-24
1669002283 Robert I Kaplan Md Pllc Otolaryngology 1524 Route 9 Ste 2, Halfmoon, NY 12065-8646 2020-01-23
1154965648 B Thuy Le Md P C Otolaryngology 589 Broadway Fl 2, New York, NY 10012-3231 2019-10-29
1659938959 Tony Richa Otolaryngology Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 2019-05-22
1003372632 Nancy King Md Pllc Otolaryngology 128 Mott St Ste 608, New York, NY 10013-5589 2019-02-19
1265919179 Rian Rosen Otolaryngology 420 Madison Ave Rm 503, New York, NY 10017-1175 2018-07-24
1225514409 Mauricio R. Milhoua Otolaryngology 16 Marion Place, South Huntington, NY 11746 2018-07-11
1003308172 Greater Buffalo Ent Otolaryngology 3950 E Robinson Rd Ste 106, Amherst, NY 14228-2042 2018-06-04
1184141798 Ofer Azoulay Otolaryngology 185 Montague St Fl 5, Brooklyn, NY 11201-3608 2017-08-24
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Competitor

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City PORT JEFFERSON STATION
Zip Code 11776

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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