Individual provider Active NPI

Mariam Samir Beshay

  • Occupational Therapist
  • Glendale, NY
National Provider Identifier
1124868823
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029219-01 Issued in NY
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
029219-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Jun 13, 2024 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009932 NY
Occupational Therapist 225X00000X 029219-01 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.