Kazi Beagum, APN
Individual provider Active NPI Acute Care Nurse Practitioner · Atlantic City, NJ
NPI 1245974641 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1245974641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ01277200 (NJ)
- Practice address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - Phone
- (609) 441-2122
- Fax
- (609) 441-2169
- NPI assigned
- Apr 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanticare Physician Group PA
Practice addresses (Care Compare)
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146
Hospital & facility affiliations
- Atlanticare Regional Medical Center - City Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607001601 | NJ | Practitioner - Nurse Practitioner | 7618355488 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14438400 | NJ | MD | Registered Nurse |
| 26NJ01277200 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Current |
Accepting new patients | |
| Atlanticare Regional Medical Center | Current |
Accepting new patients | |
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Atlanticare Regional Medical Center | Acute Care | Current |
Accepting new patients |
| Mastermind Healthcare, LLC | Current |
Accepting new patients | |
| Maez Integrative Healthcare, LLC | Past | Accepting new patients |
Locations
1925 Pacific Ave
Fl 5
Atlantic City, NJ 08401
Phone (609) 441-2122
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Interoperability endpoints
- https://api.platform.athenahealth.com/23733/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR14438400 | NJ | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ01277200 | NJ | Yes |
Addresses
Primary practice location
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Mailing address
401A S Xanthus Ave
Galloway, NJ 08205-4639
Phone (609) 350-2756
Other providers in Atlantic City, NJ
- Sachin Batra
- David Charles Bauer
- Bayada Nurses
- Deborah D Bayer
- Be at Ease
- John Becher
- Senayit G Belete
- Susan Tamara Belle
- Erika Lynn Bendetti
- Jesse A Benzell
All providers in Atlantic City, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.