MEDICARE: BENJAMIN SHEKHTMAN MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1861335937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENJAMIN SHEKHTMAN MEDICAL PLLC

Provider Business Mailing Address
First Line	:	10106 67TH DR APT 2D
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2776
Country	:	US
Telephone Number	:	929-483-5696
Fax Number	:

Provider Business Practice Location Address
First Line	:	10106 67TH DR APT 2D
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2776
Country	:	US
Telephone Number	:	929-483-5696
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BENJAMIN SHEKHTMAN
Credential	:	MD
Telephone Number	:	929-483-5696

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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