Frederick Anthony Bevelaqua, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

126040 Issued in NY

Practice address

35 A East 35TH St.
New York, NY 10016

Phone

(212) 213-6796

Fax

(212) 213-4059

NPI assigned

Jan 29, 2007

Last updated

Apr 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1174669048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 A EAST 35TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-213-6796",
            "fax_number": "212-213-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 A EAST 35TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-213-6796",
            "fax_number": "212-213-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVELAQUA",
        "first_name": "FREDERICK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "126040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucila Iliana Beuses, MD
• Heidi Beutler
• Kyle Beuttenmuller
• Megan D'Alessio Beuttenmuller, BSN, RN
• Marc Mahoney Beuttler
• Christine Beverin
• Beverley D. Zabriskie
• Cordia L Beverley, M.D.
• Beverly W. Hurd MD PC
• Alisha P Beverly, LCSW, BC-TMH

• Pulmonary Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.