Active NPI
Michael Bessada, PHARMD
- Pharmacist
- Staten Island, NY
National Provider Identifier
1114707304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069942
- Practice address
- 27 Seguine Ave Ste 4
Staten Island, NY 10309-3700 - Phone
- (347) 838-0116
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 069942 | NY | Primary |
Addresses
Primary practice location
27 Seguine Ave Ste 4
Staten Island, NY 10309-3700
Mailing address
162 Edgegrove Ave FL 2
Staten Island, NY 10312-3333
Phone (917) 816-8543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069942 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1114707304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 EDGEGROVE AVE FL 2",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103123333",
"telephone_number": "917-816-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 SEGUINE AVE STE 4",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093700",
"telephone_number": "347-838-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSADA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.