Cedarhurst Medical Associates
Organization Active NPI Internal Medicine Physician · Cedarhurst, NY
NPI 1235325564 · NPPES record last updated Sep 20, 2007
Key facts
- NPI
- 1235325564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Beer, M.D.
- Title
- President
- Phone
- (516) 374-7333
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
581 Chestnut St
Cedarhurst, NY 11516
Phone (516) 374-7333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | NY | Yes |
Addresses
Primary practice location
581 Chestnut St
Cedarhurst, NY 11516-2223
Mailing address
581 Chestnut St
Cedarhurst, NY 11516-2223
Phone (516) 374-7333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00791846 | Medicaid | NY |
Other providers in Cedarhurst, NY
- Carl B Friedman MDPC
- Rose Carpenzano
- Jennifer Castillo
- Cedarhurst Avenue Pharmacy
- Cedarhurst Dental Office
- Cedarhurst Medical PC
- Central Aid Pharmacy Inc
- Central Vision Care Optometry and Ophthalmic Dispensing PLLC
- Tziporah Chait
- Yolanda Cherbini
All providers in Cedarhurst, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.