Travis J Bench (NPI# 1033142526, PAC ID# 1658385398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1033142526 |
| PAC ID by PECOS | 1658385398 |
| Professional Enrollment ID | I20120209000358 |
| Full Name | Travis J Bench |
| Organization Legal Name | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Address |
676 County Rd 39a Southampton NY 11968-5241 |
| Phone Number | 6312832070 |
| Gender | M |
| Credential | PA |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 9133019821 |
| Number of Group Practice Members | 285 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 676 County Rd, 39a, Southampton, NY 11968-5241 | 6312832070 | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Organization Legal Name | STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Physicians | 287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Narinder Singh | Hospitalist | Stony Brook Internists, University Faculty Practice Corporation | 100 Nicholls Rd, Nephrology, Stony Brook, NY 11794-0001 |
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Theresa A Aiello | Nurse Practitioner | Stony Brook Internists, University Faculty Practice Corporation | 200 Motor Pkwy, Hauppauge, NY 11788-5100 |
| Nancy A Balkon | Nurse Practitioner | Stony Brook Internists, University Faculty Practice Corporation | 267 E Main St C, Smithtown, NY 11787-2847 |
| Amna F Sher | Medical Oncology | Stony Brook Internists, University Faculty Practice Corporation | 3 Edmond D Pellegrino Rd, Stony Brook, NY 11794-9447 |
| Edward Sun | Gastroenterology | Stony Brook Internists, University Faculty Practice Corporation | 3 Technology Dr, East Setauket, NY 11733-4064 |
| Luis A Marcos-raymundo | Infectious Disease | Stony Brook Internists, University Faculty Practice Corporation | 205 N Belle Mead Rd, Internal Med, East Setauket, NY 11733-3456 |
| William E Lawson | Interventional Cardiology | Stony Brook Internists, University Faculty Practice Corporation | 26 Research Way, East Setauket, NY 11733-3526 |
| Andrzej Kudelka | Hematology/oncology | Stony Brook Internists, University Faculty Practice Corporation | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 |
| Shenhong Wu | Medical Oncology | Stony Brook Internists, University Faculty Practice Corporation | 2343 New Hyde Park Rd, New Hyde Park, NY 11042-1212 |
| Street Address |
676 COUNTY RD 39A |
| City | SOUTHAMPTON |
| State | NY |
| Zip | 11968-5241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dhaval Chinubhai Patel | Cardiovascular Disease (cardiology) | Stony Brook Internists, University Faculty Practice Corporation | 676 County Rd, 39a, Southampton, NY 11968-5241 |
| On Chen | Interventional Cardiology | Stony Brook Internists, University Faculty Practice Corporation | 676 County Rd, 39a, Southampton, NY 11968-5241 |
| John P Reilly | Cardiovascular Disease (cardiology) | Stony Brook Internists, University Faculty Practice Corporation | 676 County Rd, 39a, Southampton, NY 11968-5241 |
| Scott R Mcglynn | Interventional Cardiology | Stony Brook Internists, University Faculty Practice Corporation | 676 County Rd, 39a, Southampton, NY 11968-5241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard M Sklarek | Pulmonary Disease | Meeting House Lane Medical Practice PC | 325 Meeting House Lane Bldg, 1 Suite K, Southampton, NY 11968 |
| Louis R Spiegel | Nephrology | Meeting House Lane Medical Practice PC | 325 Meeting House Lane Bldg, 2 Suite 301, Southampton, NY 11968 |
| James E F Giugliano | Family Medicine | 290 N Sea Rd, Southampton, NY 11968-2034 | |
| Eugene Parker | Optometry | 270 N Sea Rd, Southampton, NY 11968-2034 | |
| Matthew P Mobius | Physical Therapy | 1370 Majors Path A, Southampton, NY 11968-2431 | |
| Anita S Rosenshine | Clinical Social Worker | 533 David Whites Ln, Southampton, NY 11968-2822 | |
| Mark R Kot | Emergency Medicine | 609 Hampton Rd, Southampton, NY 11968-3051 | |
| Michael S Oakley | Internal Medicine | 60 N Main St, Southampton, NY 11968-3336 | |
| Laraine D Gordon | Clinical Social Worker | 26 Henry Sreet, Southampton, NY 11968-4016 | |
| Barbara A Weitz | Clinical Social Worker | 28 Cedar Dr, Southampton, NY 11968-4227 | |
| Find all physicians in zip 11968 | |||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SOUTHAMPTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.