Active NPI
Betzalel Rabinowitz
- Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1437531852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 339828
- Practice address
- 1396 Myrtle Ave
Brooklyn, NY 11237-4513 - Phone
- (718) 878-4314
- Fax
- (866) 611-7203
- NPI assigned
- Jun 22, 2015
- Last updated
- Jun 22, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 339828 | NY | Primary |
Addresses
Primary practice location
1396 Myrtle Ave
Brooklyn, NY 11237-4513
Mailing address
1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 878-4314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339828 | Other | NY | NURSE PRACTITIONER IN FAMILY HEALTH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151009000352 | NY | Practitioner - Nurse Practitioner | 5395053441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339828 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center Inc | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
dba Center for Health Education, Medicine and Dentistry
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1437531852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1396 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374513",
"telephone_number": "718-878-4314",
"fax_number": "866-611-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 MYRTLE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374513",
"telephone_number": "718-878-4314",
"fax_number": "866-611-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABINOWITZ",
"first_name": "BETZALEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "339828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER IN FAMILY HEALTH",
"identifier": "339828",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.