Provider Demographics
NPI:1780777078
Name:BENITES, MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:BENITES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARITA
Other - Middle Name:RUIZ
Other - Last Name:DE BENITES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12 CREAMER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872
Mailing Address - Country:US
Mailing Address - Phone:732-254-0674
Mailing Address - Fax:732-254-0674
Practice Address - Street 1:12 CREAMER DRIVE
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872
Practice Address - Country:US
Practice Address - Phone:732-254-0674
Practice Address - Fax:732-254-0674
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02557800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1033893OtherHORIZON NJ HEALTH
NJ70437Medicare UPIN