Active NPI
David Joseph Beccia, M.D.
- Specialist
- Bay Shore, NY
National Provider Identifier
1477579209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 130536
- Practice address
- 332 E Main St
Bay Shore, NY 11706-8404 - Phone
- (631) 665-3737
- Fax
- (631) 969-0753
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 130536 | NY | Primary |
Addresses
Primary practice location
332 E Main St
Bay Shore, NY 11706-8404
Mailing address
332 E Main St
Bay Shore, NY 11706-8404
Phone (631) 665-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00393224 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130536 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Medical Associates, P.C. | Specialist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Amityville, NY
- NPI 1194869495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477579209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068404",
"telephone_number": "631-665-3737",
"fax_number": "631-969-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068404",
"telephone_number": "631-665-3737",
"fax_number": "631-969-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECCIA",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "130536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00393224",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.