MEDICARE: BENJAMIN TEMKIN

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1609753243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN TEMKIN

Provider Business Mailing Address
First Line	:	1855 SMARTY JONES ST SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-2398
Country	:	US
Telephone Number	:	505-702-9080
Fax Number	:

Provider Business Practice Location Address
First Line	:	9117 ATKINSON PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-3909
Country	:	US
Telephone Number	:	505-702-9080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	06/28/2026

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Directions to “ BENJAMIN TEMKIN ” Practice Location

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