Individual provider Active NPI

Alexa Marie Beloyianis, DC

  • Chiropractor
  • Delmar, NY
National Provider Identifier
1295365369
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013344 Issued in NY
Practice address
397 Kenwood Ave
Delmar, NY 12054-3264
Phone
(518) 439-1916
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013344 NY Primary

Addresses

Primary practice location

397 Kenwood Ave
Delmar, NY 12054-3264

Mailing address

100 E Park Ave
Long Beach, NY 11561-3510
Phone (516) 242-5416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227001322 NY Practitioner - Chiropractic 1658708896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Park Chiropractic PLLCGroup PAC ID 6103224571, 3 clinicians

Practice addresses (Care Compare)

1789 Route 9
Halfmoon, NY 12065-2458
Phone (518) 930-0049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013344NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Park Chiropractic PLLC CurrentSince Jul 10, 2021 Accepting new patients

Locations

1789 Route 9
Halfmoon, NY 12065
Phone (518) 371-0246

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.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1295365369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613510",
            "telephone_number": "516-242-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543264",
            "telephone_number": "518-439-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOYIANIS",
        "first_name": "ALEXA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.