Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Tack, DO

Individual provider Infectious Disease Physician · NPI 1215426812

Benjamin Tack, DO is an Internal Medicine in Roseland, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2018, 8 years ago. Practices with Infectious Disease Specialists LLC, a 7-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

189 Eagle Rock Ave
Roseland, NJ 07068-1347
Phone: (845) 853-5739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 25MB11904700 (NJ)

Record details

NPI number1215426812
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address189 Eagle Rock Ave, Roseland, NJ 07068-1347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2018 (8 years in practice)
Group practice Infectious Disease Specialists Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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