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

Dr. Tavya Benjamin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578096657

Dr. Tavya Benjamin, MD is an Urology in Glen Cove, New York. Graduated from University of Florida College of Medicine in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
University of Florida College of Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Saint Andrews Ln
Glen Cove, NY 11542-2263
Phone: (516) 734-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-7210

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 316920-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578096657
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address450 Lakeville Rd, New Hyde Park, NY 11042-1118

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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