Individual provider Active NPI

Eden Bessaleli, PA

  • Physician Assistant
  • Roslyn Heights, NY
National Provider Identifier
1093307308
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Center 83 clinicians
New York Bariatric Surgery Group PLLC 39 clinicians

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 Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026401NYMDOrthopedic Physical Therapist

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
Premier Bariatric New Jersey PC CurrentSince Dec 1, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jul 1, 2021 Accepting new patients
Mercy Medical Center CurrentSince May 1, 2021 Accepting new patients
Mercy Medical Center CurrentSince May 1, 2021 Accepting new patients
CHS Physician Partners, PC CurrentSince Jul 1, 2021 Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients
Good Samaritan Hospital DME Past Accepting new patients
New York Bariatric Surgery Group PLLC PastSince Mar 3, 2024 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

  • Direct secure messaging: edb9049@direct.nyp.org
  • Direct secure messaging: ebessaleli69526@northwell.direct-ci.com
  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.