Healthcare Provider Details

I. General information

NPI: 1952899759
Provider Name (Legal Business Name): JEREMY RUBEN BENHAMROUN-ZBILI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE STE 602
HACKENSACK NJ
07601-1962
US

IV. Provider business mailing address

100 WOODS RD
VALHALLA NY
10595-1530
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2442
  • Fax: 201-343-1045
Mailing address:
  • Phone: 914-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MB11503900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: