Active NPI
Eden Bessaleli, PA
- Physician Assistant
- Roslyn Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042 - Phone
- (800) 633-8446
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Mailing address
11 North Rd
Great Neck, NY 11024-1933
Phone (516) 724-3214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210602002769 | NY | Practitioner - Physician Assistant | 8527467042 | Reassigns benefits to 5 organizations |
| I20260105002488 | NJ | Practitioner - Physician Assistant | 8527467042 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical CenterNew York Bariatric Surgery Group PLLC
Practice addresses (Care Compare)
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428
125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026401 | NY | MD | Orthopedic Physical Therapist |
Practice roles (9 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Bariatric New Jersey PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Bethpage Medical, PLLC | Past | Accepting new patients | |
| Good Samaritan Hospital DME | Past | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Past | Accepting new patients | |
| Nrad Medical Associates, PC | Past | Accepting new patients |
Locations
1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412
1 W Ridgewood Ave
#G2
Paramus, NJ 07652
15 Park Ave
Bay Shore, NY 11706
Phone (631) 581-4400
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446
400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392
13848 Elder Ave
Flushing, NY 11355
Phone (718) 321-7100
16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600
1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446
1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
646 Park Ave
New York, NY 10065
Phone (212) 249-0404
55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020
146A Manetto Hill Rd
Ste 205
Plainview, NY 11803
Phone (516) 302-8530
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800
1441 South Ave
Ste 205
Staten Island, NY 10314
2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- edb9049@direct.nyp.org
- ebessaleli69526@northwell.direct-ci.com
- nybg.edenbessaleli@136202.advancedmd-direct.com
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1093307308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NORTH RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241933",
"telephone_number": "516-724-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MINEOLA AVE STE 200",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772042",
"telephone_number": "800-633-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSALELI",
"first_name": "EDEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.