Organization Active NPI

Maurice Betesh DPM PLLC

  • Podiatric Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1194284182
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
MAURICE BETESH DPM PLLC
Practice address
770 Ocean Pkwy
Brooklyn, NY 11230-2184
Phone
(718) 941-2002
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Maurice Betesh, DPMNPI 1033564034
Title
Owner / Sole Member
Phone
(917) 553-7767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

770 Ocean Pkwy
Brooklyn, NY 11230-2184

Mailing address

1817 E 12TH St
Brooklyn, NY 11229-2701
Phone (917) 553-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190404000579 NY Part B Supplier - Clinic/Group Practice 8022359835 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20200422000783 NY DME Supplier - Physician - Podiatry 8022359835 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1194284182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292701",
            "telephone_number": "917-553-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302184",
            "telephone_number": "718-941-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE BETESH DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BETESH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER / SOLE MEMBER",
        "authorized_official_telephone_number": "917-553-7767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.