Beverly Road Podiatry P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

003728 Issued in NY

Legal business name

BEVERLY ROAD PODIATRY P.C.

Practice address

595 Flatbush Ave
Brooklyn, NY 11225-4903

Phone

(718) 675-1100

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Keith FactorNPI 1487674354

Title

D.P.M.

Phone

(347) 357-8445

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Keith Wayne Factor, DPM

  • Podiatrist
  • Brooklyn, NY
  • NPI 1487674354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346659455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254903",
            "telephone_number": "718-675-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254903",
            "telephone_number": "718-675-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2146 Beverley Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112265406",
            "country_code": "US",
            "telephone_number": "718-675-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEVERLY ROAD PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "347-357-8445"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dror Betzalel, PT, MS DPT
• Megan Beug, LCSW
• Beverley Griffith-Fenton
• Beverley Mack Harry Consulting Services Inc.
• Beverly Rehabilitation Medical PC
• Joel Bevien
• Kris Bevilacqua, PH.D.
• Lisa Bevilacqua, L.AC.
• Anna Bevz, LMHC
• Alla Bevziuk

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.