Magdala Beauvil DO PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MAGDALA BEAUVIL DO PLLC

Practice address

200 Old Country Rd
Mineola, NY 11501-4235

Phone

(917) 715-2855

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Magdala Dominique Beauvil, DONPI 1023244837

Title

Owner

Phone

(917) 715-2855

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Magdala Dominique Beauvil, M.D.

  • Obstetrics & Gynecology Physician
  • Mineola, NY
  • NPI 1023244837

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1437974854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PINE ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306318",
            "telephone_number": "917-715-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "917-715-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDALA BEAUVIL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BEAUVIL",
        "authorized_official_first_name": "MAGDALA",
        "authorized_official_middle_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-715-2855",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Anne Macmillan, DO
• Brant M Macpherson
• Christopher Madden, MD
• Madonna Physicians Services PC (Madonna Perinatal Services)
• John K Maesaka, M.D.
• Sheila Magee-Torres, LCSW
• Michael Maglione
• Marianne Magno, NP
• Nadia Mahadeo
• Christine Maher, LCSW

• Obstetrics & Gynecology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.