Organization Active NPI

Cedarhurst Medical Associates

  • Internal Medicine Physician
  • Cedarhurst, NY
National Provider Identifier
1235325564
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CEDARHURST MEDICAL ASSOCIATES
Practice address
581 Chestnut St
Cedarhurst, NY 11516-2223
Phone
(516) 374-7333
Fax
(516) 374-3204
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Daniel Beer, M.D.
Title
President
Phone
(516) 374-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

581 Chestnut St
Cedarhurst, NY 11516-2223

Mailing address

581 Chestnut St
Cedarhurst, NY 11516-2223
Phone (516) 374-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001585 NY Part B Supplier - Clinic/Group Practice 7113818212 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Far Rockaway, NY; Rockaway Park, NY; Arverne, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

581 Chestnut St
Cedarhurst, NY 11516
Phone (516) 374-7333

131 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 869-7640

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1235325564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 CHESTNUT ST",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223",
            "telephone_number": "516-374-7333",
            "fax_number": "516-374-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 CHESTNUT ST",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223",
            "telephone_number": "516-374-7333",
            "fax_number": "516-374-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARHURST MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-7333",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.