Organization Active NPI

Carefullmd Beacon Inc

  • General Practice Physician
  • Beacon, NY
National Provider Identifier
1194468256
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CAREFULLMD BEACON INC
Practice address
268 Main St
Beacon, NY 12508-2734
Phone
(845) 891-5932
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Ariel Rodriguez
Title
Chief Executive
Phone
(845) 891-5932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

268 Main St
Beacon, NY 12508-2734

Mailing address

10 Leon Dr Unit 211
Monsey, NY 10952-2962
Phone (845) 891-5932

National Provider Directory

National Provider Directory

Locations

268 Main St
Beacon, NY 12508
Phone (845) 891-5932

46 Main St
Ste 136
Monsey, NY 10952

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1194468256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LEON DR UNIT 211",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522962",
            "telephone_number": "845-891-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082734",
            "telephone_number": "845-891-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFULLMD BEACON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "845-891-5932"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.