Active NPI
Martin Matsil Beitler, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1265573372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 169132
- Practice address
- 153 W 27TH St
Suite 301
New York, NY 10001-6203 - Phone
- (212) 627-1222
- Fax
- (212) 462-4130
- NPI assigned
- Feb 9, 2007
- Last updated
- Oct 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 169132 | NY | Primary |
Addresses
Primary practice location
153 W 27TH St
Suite 301
New York, NY 10001-6203
Mailing address
153 W 27TH St
Suite 301
New York, NY 10001-6203
Phone (212) 627-1222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E17708 | Other | NY | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 26, 2017 through Jul 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169132 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Pediatrics PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- New York, NY
- NPI 1124147186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1265573372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W 27TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016203",
"telephone_number": "212-627-1222",
"fax_number": "212-462-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W 27TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016203",
"telephone_number": "212-627-1222",
"fax_number": "212-462-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEITLER",
"first_name": "MARTIN",
"middle_name": "MATSIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "169132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "E17708",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.