Madison R Bennert
Physician Assistant in Forked River, New Jersey
1023847704- Practice location
- 730 Lacey RD Ste 8, Forked River, NJ 08731-1300
- Phone
- 732-977-6240
- Fax
- —
- Last updated
- March 21, 2025
Madison Riley Bennert is a Physician Assistant based in Forked River, NJ. Madison Riley Bennert practices in Forked River, NJ. The NPI Number for Madison Riley Bennert is 1023847704 and holds a License No. 25MP00877800 (NJ). The current practice location address for Madison Riley Bennert is 730 Lacey RD Ste 8, Forked River, NJ 08731-1300 and can be reached out via phone at 732-977-6240.
Provider Profile Details
- NPI Number
- 1023847704
- Provider Name
- Madison Riley Bennert
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 730 Lacey RD Ste 8, Forked River, NJ 08731-1300
- Phone Number
- 732-977-6240
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 30, 2024
- Last Update Date
- March 21, 2025
- Certification Date
- March 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 730 Lacey RD Ste 8
Forked River, NJ 08731-1300 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-1300
- Phone Number
- 732-977-6240
Provider Business Mailing Address Details
- Address
- 730 Lacey RD Ste 8
Forked River, NJ 08731-1300 - City
- Forked River
- State
- NJ
- Zip
- 08731-1300
- Phone Number
- 732-977-6240
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00877800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Madison R Bennert?
The NPI number of Madison R Bennert is 1023847704. It was assigned on July 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Madison R Bennert?
Madison R Bennert is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00877800.
Where does Madison R Bennert practice?
The practice location is 730 Lacey RD Ste 8, Forked River, NJ 08731-1300. The office can be reached at 732-977-6240 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023847704 directly on the NPPES registry website.