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

Dr. Benjamin Daesoon Acker, DO

Individual provider Otolaryngology Physician · NPI 1104057439

Dr. Benjamin Daesoon Acker, DO is an Otolaryngology in Port Jefferson Station, New York. Graduated from Rutgers School of Dental Medicine in 2009, 17 years ago. Practices with ENT and Allergy Associates LLP, a 432-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Trained at
Rutgers School of Dental Medicine
Licensed in
NY
In the registry since
2009
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

1500 Route 112 Bldg 4 - 2ND Fl
Port Jefferson Station, NY 11776-8054
Phone: (631) 928-0188
Fax: (631) 928-0185
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 291557 (NY)

Record details

NPI number1104057439
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESApril 2, 2019
Mailing address660 White Plains Rd Fl 4, Tarrytown, NY 10591-5139

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2009 (17 years in practice)
Group practice Ent And Allergy Associates Llp — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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