DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) – MOHS-Micrographic Surgery Physician, NPI 1154718849

DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) is a healthcare provider. based in Vineland, New Jersey. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. OS019881 (PA). The NPI Number for DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) is 1154718849

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONRAD JOSEPH JR. BENEDETTO (D.O.)
NPI
1154718849
Phone
(856) 641-8000
Address
1505 W SHERMAN AVE
Enumeration Date
20 April 2015
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6105946660
Graduation Year
2019 (7 years ago)
PAC ID
0244568822
Group Practice PAC ID
4183603335
Professional Enrollment ID
I20190820003294
Address ID
PA193411252EX501XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

453 DERMATOLOGY in NJ

Provider Addresses for DR. CONRAD JOSEPH JR. BENEDETTO (D.O.)

  • 1505 W SHERMAN AVE

    VINELAND, NJ 083607059

    Phone: (856) 641-8000

    Type: Mailing

  • 2221 GARRETT RD

    DREXEL HILL, PA 190261101

    Phone: (610) 623-5885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,266.

Total Amount is formed as General ($1,266) + Research ($0) + Ownership ($0) = $1,266.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($338).

Total Amount

$1,266

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190820003294IDermatologyPATBD
I20210316002626IDermatologyDETBD
I20220216002237IDermatologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths41182$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks356297$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks197142$0
99213Established patient office or other outpatient visit, 20-29 minutes166137$0
11102Biopsy of related skin growth, first growth152124$0
View full utilization report →

Insurance plans in this area (ZIP 08360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183603335View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
D E R M A T O L O G YPA
Physician AssistantPA
D E R M A T O L O G YPA
Dermatology, Plastic And Reconstructive SurgeryPA
Physician AssistantPA
D E R M A T O L O G YPA
Physician AssistantPA
D E R M A T O L O G YPA
Physician AssistantPA

Reviews

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Frequently asked questions

What is the standard ID for DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) in the U.S.?
In the U.S., DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) is identified by NPI 1154718849.
Should I treat DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) as an active provider?
Patients and plans typically see DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) as active in the national extract.
Which specialty label fits DR. CONRAD JOSEPH JR. BENEDETTO (D.O.)?
NPPES ties DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) to MOHS-Micrographic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CONRAD JOSEPH JR. BENEDETTO (D.O.)?
The directory associates DR. CONRAD JOSEPH JR. BENEDETTO (D.O.) with Vineland, New Jersey. Check all listed addresses for suites or satellite offices.
Can I export DR. CONRAD JOSEPH JR. BENEDETTO (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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