Beena Mancheril, FNP - BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F344363-1 Issued in NY

Practice address

310 E Shore Rd
Great Neck, NY 11023-2410

Phone

(516) 482-8657

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beena Mathachan Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: beenamancheril@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: bmancheril3640974@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 210 MJD Medical, PLLC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1750712220
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1326696121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232410",
            "telephone_number": "516-482-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232410",
            "telephone_number": "516-482-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10234 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "114161745",
            "country_code": "US",
            "telephone_number": "516-750-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHERIL",
        "first_name": "BEENA",
        "credential": "FNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344363-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "221811950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEENA",
            "last_name": "MATHACHAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Marie Maloney, M.D.
• Theodora Malonoukos, PHARM.D.
• Chetan Malpe, M.D.
• Susan Maltser, DO
• Mini Susan Mammen
• Jordana Sage Mandel
• Julia Mandelblat, M.D.
• Gary P Mandell, PH.D.
• Tiana Manfred
• Manhasset Chiropractic PC

• Family Nurse Practitioner in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.