Active NPI
Mariam Samir Beshay
- Occupational Therapist
- Glendale, NY
National Provider Identifier
1124868823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029219-01
- Practice address
- 7856 74TH St
Glendale, NY 11385-7428 - Phone
- (347) 459-7193
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1679217368
NY, Occupational Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240819001825 | NY | Practitioner - Occupational Therapist in Private Practice | 4486192606 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029219-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Therapy Services PT OT PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 009932 | NY | |
| Occupational Therapist | 225X00000X | 029219-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7856 74TH St
Glendale, NY 11385-7428
Mailing address
7856 74TH St FL At1
Glendale, NY 11385-7428
Phone (347) 459-7193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2024.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1124868823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7856 74TH ST FL AT1",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857428",
"telephone_number": "347-459-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7856 74TH ST",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857428",
"telephone_number": "347-459-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESHAY",
"first_name": "MARIAM",
"middle_name": "SAMIR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "009932",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029219-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.