Active NPI
Carefullmd Beacon Inc
- General Practice Physician
- Beacon, NY
National Provider Identifier
1194468256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.