Beverly Pazur

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

206132 Issued in NY

Practice address

203 W 12TH St
Room 625
New York, NY 10011-7762

Phone

(212) 604-8803

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blanton-Peale InstituteGroup PAC ID 9234020330, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  Medicare reassignment Care Compare group NPD
• St Vincents Psychiatric Associates

  • Psychiatry Physician
  • New York, NY
  • NPI 1154362119
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205944287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6217",
            "address_2": "CHURCH ST STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102496217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 12TH ST",
            "address_2": "ROOM 625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117762",
            "telephone_number": "212-604-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZUR",
        "first_name": "BEVERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "206132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01737755",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesenia Desiree Pazmino
• Kenneth Reza Pazooki
• Parsa Pazooki
• Sophia Ana Pazos, LCSW
• Lia Pazuelo, SLP-CF
• Pcdi Healthcare and Consultants
• PCL Hearing Services of New York, LLC
• Elena M Dela Cruz Pe, N.P.
• Claire Peabody
• Elizabeth T Peabody, LMSW

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.