Beacon Hill Orthopedics PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

257342 Issued in NY

Legal business name

BEACON HILL ORTHOPEDICS PLLC

Practice address

20 Beacon Hill Dr
Ste 2a
Dobbs Ferry, NY 10522-2402

Phone

(914) 693-9400

Fax

(914) 693-4793

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John A Mitamura, MD PHD

Title

Ceo

Phone

(914) 693-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Robert I Meyerson, M.D

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Suffern, NY
  • NPI 1295709640
  Medicare reassignment NPD
• Alex Gitelman, MD

  • Orthopaedic Surgery of the Spine Physician
  • Stamford, CT
  • NPI 1063692861
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1265711972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEACON HILL DR",
            "address_2": "STE 2A",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222402",
            "telephone_number": "914-693-9400",
            "fax_number": "914-693-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEACON HILL DR",
            "address_2": "STE 2A",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222402",
            "telephone_number": "914-693-9400",
            "fax_number": "914-693-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HILL ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MITAMURA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-693-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "257342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Victoria Banks, PH.D.
• George Banning, MD
• Patrice Vernique Barnes-Tracey, PHD, LCSW, LMSW
• Laura Grand Bartels, PSY.D
• Michael Batshaw, L.C.S.W.
• Beacon Hill Physical Medicine & Orthopedic Rehabilitation
• John R Beck, DDS
• Myriam Erdt Beck, L.AC
• Marlene Behrendt, MS, OTR/L
• Marian Bellas

• Orthopaedic Surgery Physician in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.