Be Healthy Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

211343 Issued in NY

Legal business name

BE HEALTHY MEDICAL PC

Practice address

1302 Kings Hwy
2ND Floor
Brooklyn, NY 11229-1960

Phone

(718) 645-2700

Fax

(718) 645-3188

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alexandra Etkin, M.D.NPI 1932274156

Title

Medical Director

Phone

(718) 648-2122

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Alexandra Etkin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1932274156
  Medicare reassignment NPD Authorized official
• Ilona Shtarkman, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1023354081
  Medicare reassignment NPD
• Janna Gefter, DPM

  • Foot Surgery Podiatrist
  • Bayside, NY
  • NPI 1124129390
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1235204447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291960",
            "telephone_number": "718-645-2700",
            "fax_number": "718-645-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291960",
            "telephone_number": "718-645-2700",
            "fax_number": "718-645-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE HEALTHY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "ETKIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-648-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211343",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BD O&P (Teitelbaum O&P)
• BDBN Medical PC
• BDF Pediatric Group LLP
• Sanaa M Bdiiwi, MD
• Be Agape LLC
• Be the Change Occupational Therapy PC
• Be Well Medical Alert Inc
• Be Well Medical Supply Inc
• Be Well Pharmacy Corp.
• Be Well Pharmacy Corp. (Be Well Pharmacy LTC)

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.