Individual provider Active NPI

Betina Charlotte Apostol Nuguid, PA-C

  • Physician Assistant
  • Yonkers, NY
National Provider Identifier
1164023172
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025524-01 Issued in NY
Practice address
1730 Central Park Ave Ste 3P
Yonkers, NY 10710-4905
Phone
(914) 779-0141
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 025524-01 NY Primary

Addresses

Primary practice location

1730 Central Park Ave Ste 3P
Yonkers, NY 10710-4905

Mailing address

1730 Central Park Ave Ste 3P
Yonkers, NY 10710-4905
Phone (914) 779-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230111001909 NY Practitioner - Physician Assistant 9739559535 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025524-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC CurrentSince Aug 1, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Aug 1, 2024 Accepting new patients
Yonkers Nephrology, P.C. CurrentSince Nov 8, 2020 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

1730 Central Park Ave
Ste 3P
Yonkers, NY 10710
Phone (914) 779-0141

Interoperability endpoints

  • Direct secure messaging: prj9023@direct.nyp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1164023172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CENTRAL PARK AVE STE 3P",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104905",
            "telephone_number": "914-779-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CENTRAL PARK AVE STE 3P",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107104905",
            "telephone_number": "914-779-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGUID",
        "first_name": "BETINA CHARLOTTE",
        "middle_name": "APOSTOL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025524-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.