Healthcare Provider Details

I. General information

NPI: 1346537495
Provider Name (Legal Business Name): BENJAMIN JONAH HUGHES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA MARIE HUGHES M.D.

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 ARTHUR AVE
BRONX NY
10457-6601
US

IV. Provider business mailing address

1826 ARTHUR AVE
BRONX NY
10457-6601
US

V. Phone/Fax

Practice location:
  • Phone: 646-946-3744
  • Fax:
Mailing address:
  • Phone: 646-946-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number274712
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: