Individual provider

Benjamin Durham, M.D.

Anatomic Pathology & Clinical Pathology Physician Hematology (Pathology) Physician Molecular Genetic Pathology (Pathology) Physician Medicare enrolled

Benjamin Durham, M.D. is an Anatomic Pathology & Clinical Pathology Physician in New Brunswick, NJ, registered under NPI 1164690483. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 195 LITTLE ALBANY ST RM 4557, New Brunswick, NJ 08901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

195 LITTLE ALBANY ST RM 4557, New Brunswick, NJ 08901 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA11324200 NJ Anatomic Pathology & Clinical Pathology… primary
25MA11324200 NJ Hematology (Pathology) Physician
270378 NY Hematology (Pathology) Physician
120870 CA Hematology (Pathology) Physician
25MA11324200 NJ Molecular Genetic Pathology (Pathology)…
270378 NY Molecular Genetic Pathology (Pathology)…
120870 CA Molecular Genetic Pathology (Pathology)…
270378 NY Anatomic Pathology & Clinical Pathology…
120870 CA Anatomic Pathology & Clinical Pathology…

Licences are recorded in 3 states: NJ, NY, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
6305106485

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
New York I20180209001595 Practitioner - Pathology
New Jersey I20231103000656 Practitioner - Pathology

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. There are 2 separate enrolment records across 2 states (NY, NJ). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: California, New Jersey and New York. The practice address on file is in New Brunswick, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California
Licence
120870
Specialty
Hematology (Pathology) Physician
Verify with the CA board →
NJ New Jersey practice address
Licence
25MA11324200
Specialty
Anatomic Pathology & Clinical Pathology…
Verify with the NJ board →
NY New York
Licence
270378
Specialty
Hematology (Pathology) Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Anatomic Pathology & Clinical Pathology covers

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. NUCC Health Care Provider Taxonomy, code 207ZP0102X
Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology

All registered taxonomy codes

This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology 25MA11324200 NJ primary
207ZH0000X Hematology (Pathology) Physician Hematology 25MA11324200 NJ
207ZH0000X Hematology (Pathology) Physician Hematology 270378 NY
207ZH0000X Hematology (Pathology) Physician Hematology 120870 CA
207ZP0007X Molecular Genetic Pathology (Pathology) Physician Molecular Genetic Pathology 25MA11324200 NJ
207ZP0007X Molecular Genetic Pathology (Pathology) Physician Molecular Genetic Pathology 270378 NY
207ZP0007X Molecular Genetic Pathology (Pathology) Physician Molecular Genetic Pathology 120870 CA
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology 270378 NY
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology 120870 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164690483 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 20, 2008
Last updatedDec 4, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 195 LITTLE ALBANY ST RM 4557
New Brunswick, NJ 08901
(732) 235-9718
Mailing address 110 SOMERSET ST APT 2008
New Brunswick, NJ 08901
This record was updated on Dec 4, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1164690483 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 6 9 0 4 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 3 9 0 4 7

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164690483?
NPI 1164690483 is the National Provider Identifier assigned to Benjamin Durham, M.D. in New Brunswick, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anatomic Pathology & Clinical Pathology cover?
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and…
How do I contact Benjamin Durham, M.D.?
The phone number on file with NPPES is (732) 235-9718, last updated Dec 4, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Benjamin Durham, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164690483 a valid number?
Yes. 1164690483 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.