Individual provider Active NPI

Be Pietros, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1184917726
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404912 Issued in NY
Practice address
2614 Halperin Ave
Bronx, NY 10461
Phone
(718) 583-7736
NPI assigned
May 16, 2011
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2381550 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404912 NY Primary
Registered Nurse 163W00000X R240740 MD
Licensed Vocational Nurse 164X00000X 306063-1 NY

Addresses

Primary practice location

2614 Halperin Ave
Bronx, NY 10461

Mailing address

3100 47TH Ave Ste 3100
Long Island City, NY 11101-3050

Other names 1

  • Be Pietros Professional name

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
I20230630001263 NY Practitioner - Nurse Practitioner 5799144283 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care Psychiatry of Ny PCGroup PAC ID 4981076247, 15 clinicians

Practice addresses (Care Compare)

7810 164TH St
Fresh Meadows, NY 11366-1229
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R240740MDMDRegistered Nurse
306063-1NYMDLicensed Vocational Nurse
RN2381550MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Jun 25, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 22, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince May 22, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince May 22, 2023 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 22, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

5075 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 435-5511

45 Montcalm St
Ticonderoga, NY 12883
Phone (516) 585-6230

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1184917726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 47TH AVE STE 3100",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-583-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROS",
        "first_name": "BE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2381550",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404912",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R240740",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "306063-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BE",
            "last_name": "PIETROS",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.