Individual provider Active NPI

Angela Neolene Beckford, M.D., MPH

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1083872816
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA09504000 Issued in NJ
Practice address
725 Albany St
Shapiro 8
Boston, MA 02118-2526
Phone
(617) 638-7420
Fax
(617) 638-8551
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 234997 MA
Dermatology Physician 207N00000X 25MA09504000 NJ Primary

Addresses

Primary practice location

725 Albany St
Shapiro 8
Boston, MA 02118-2526

Mailing address

720 Harrison Ave
Dob801A
Boston, MA 02118-2371
Phone (617) 638-7420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, TX, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140827000379 NJ Practitioner - Dermatology 0749412518
I20161108002019 NY Practitioner - Dermatology 0749412518 Reassigns benefits to 2 organizations
I20231010003236 TX Practitioner - Dermatology 0749412518
I20250421001527 NM Practitioner - Dermatology 0749412518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234997MAMDDermatology Physician
25MA09504000NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C Leech DO Inc PC CurrentSince Feb 15, 2025 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2022 Accepting new patients
TJH Medical Services, P.C. Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Boston University Dermatology, Inc. Dermatology PastSince Jan 23, 1997 Accepting new patients
Clark Dermatology, LLC Dermatology PastSince May 11, 2025 Accepting new patients
Child Health Foundation of Boston, Inc. PastSince Jan 1, 2005 Accepting new patients

Locations

101 Hospital Loop NE
Ste 114
Albuquerque, NM 87109
Phone (505) 888-7770

3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: abeckford102264@direct.medisys.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1083872816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB801A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371",
            "telephone_number": "617-638-7420",
            "fax_number": "617-638-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST",
            "address_2": "SHAPIRO 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182526",
            "telephone_number": "617-638-7420",
            "fax_number": "617-638-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD",
        "first_name": "ANGELA",
        "middle_name": "NEOLENE",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "234997",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09504000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.