NPIMap

Organization Active NPI

Jonathan Beach DO PLLC

  • Urgent Care Clinic/Center
  • Plattsburgh, NY
National Provider Identifier
1104023910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
228601 Issued in NY
Legal business name
JONATHAN BEACH DO PLLC
Practice address
79 Hammond LN
Suite #2
Plattsburgh, NY 12901-2008
Phone
(518) 563-5900
Fax
(519) 563-5903
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Charles Beach, DO
Title
President
Phone
(518) 563-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 228601 NY Primary

Addresses

Primary practice location

79 Hammond LN
Suite #2
Plattsburgh, NY 12901-2008

Mailing address

505 Devils Den Rd
Altona, NY 12910-2018
Phone (518) 236-5611

Other names 1

  • Urgicare of the Northeast Doing business as

National Provider Directory

National Provider Directory

Locations

79 Hammond Ln
Ste 2
Plattsburgh, NY 12901
Phone (518) 563-5900

79 Hammond Ln
Ste 21
Plattsburgh, NY 12901

319 Bay Rd
Ste 2
Queensbury, NY 12804

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104023910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DEVILS DEN RD",
            "city": "ALTONA",
            "state": "NY",
            "postal_code": "129102018",
            "telephone_number": "518-236-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN",
            "address_2": "SUITE #2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-563-5900",
            "fax_number": "519-563-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BEACH DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-563-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "228601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgicare of the Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.