MEDICARE: MICHAEL A BENETATOS OD LLC

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	152W00000X	Optometrist	27OA00509800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132242	OTHER	NJ	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033386222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL A BENETATOS OD LLC

Provider Business Mailing Address
First Line	:	1069 RINGWOOD AVE
Second Line	:
City	:	HASKELL
State	:	NJ
Zip	:	07420-1408
Country	:	US
Telephone Number	:	862-200-5454
Fax Number	:	862-200-5453

Provider Business Practice Location Address
First Line	:	1069 RINGWOOD AVE
Second Line	:
City	:	HASKELL
State	:	NJ
Zip	:	07420-1408
Country	:	US
Telephone Number	:	862-200-5454
Fax Number	:	862-200-5453

Authorized Official
Title or Position	:	OPERATING MANAGER
Name	:	DR. MICHAEL BENETATOS
Credential	:	O.D.
Telephone Number	:	862-200-5454

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	10/13/2009

Similar Medicare Providers

1164114179 — ANN L PINON FNP, PMHNP
Practice Location Address:

1069 RINGWOOD AVE
HASKELL, NJ
07420-1408

Practice Phone: 201-286-0860
Practice Fax:

1619082229 — DIZON WELLNESS CENTER LLC
Practice Location Address:

1069 RINGWOOD AVE , SUITE 215
HASKELL, NJ
07420-1408

Practice Phone: 973-835-3400
Practice Fax: 973-835-3411

1689782955 — DR. MARCELINO ANTHONY DIZON D.C.
Practice Location Address:

1069 RINGWOOD AVE , SUITE 215
HASKELL, NJ
07420-1408

Practice Phone: 973-835-3400
Practice Fax: 973-835-3411

1194802678 — RUTH M BRODERICK
Practice Location Address:

1069 RINGWOOD AVE , STE 211
HASKELL, NJ
07420-1408

Practice Phone: 973-467-7976
Practice Fax: 973-467-7971

1407923287 — DR. PEGGY ANN PREKOPA PHD
Practice Location Address:

1069 RINGWOOD AVE STE 301-10
HASKELL, NJ
07420-1408

Practice Phone: 973-768-0513
Practice Fax:

1356576573 — DR. DANIELLE NICOLETTA FALCIGLIA PHD CCC-SLP
Practice Location Address:

1069 RINGWOOD AVE , SUITE 311A
HASKELL, NJ
07420-1408

Practice Phone: 973-506-4447
Practice Fax:

Directions to “MICHAEL A BENETATOS OD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.