Beach View Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02631267 Issued in NY

Legal business name

BEACH VIEW DENTAL PC

Practice address

711B Seagirt Ave
Far Rockaway, NY 11691-5730

Phone

(718) 471-3366

Fax

(718) 471-3366

NPI assigned

May 16, 2007

Last updated

Dec 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lilly Samuel

Title

Office Manager

Phone

(718) 471-3366

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1063628832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711B SEAGIRT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915730",
            "telephone_number": "718-471-3366",
            "fax_number": "718-471-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711B SEAGIRT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915730",
            "telephone_number": "718-471-3366",
            "fax_number": "718-471-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH VIEW DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-471-3366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "02631267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02631267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginette A Baum, MA CCCSLP
• Tamar Bauman
• Samuel Bavli, MD
• Sheila Mariam Bawany, MD
• Beach Medical Rehabilitation PC
• Sashauna Beale, RN
• Cindy Becker, PT
• Imogene P. Bedward, NP
• Brenda Behar
• Nomi Beinhorn, PA

• General Practice Dentistry in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.