Individual provider Active NPI

Annette Beharry, D.O.

  • Pediatrics Physician
  • S Richmond Hills, NY
National Provider Identifier
1528247848
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
239745 Issued in NY
Practice address
125-06 101St Street
S Richmond Hills, NY 11419
Phone
(718) 849-2900
Fax
(718) 599-5468
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 239745 NY Primary

Addresses

Primary practice location

125-06 101St Street
S Richmond Hills, NY 11419

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone (929) 299-4700

Other practice location 2

96-10 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone (718) 459-0400

Other practice location 3

169-59 137th Ave
Rochdale, NY 11434-4517
Phone (718) 525-5600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318000230 NY Practitioner - Pediatric Medicine 5991002917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
239745NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Feb 25, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 25, 2017 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

18005 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-6300

55 Water St
Fl 2
New York, NY 10041

16959 137th Ave
Rochdale Village, NY 11434
Phone (718) 525-5666

12506 101st Ave
South Richmond Hl, NY 11419
Phone (718) 849-2900

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: abeharry24474@direct.acpny.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1528247848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125-06 101ST STREET",
            "city": "S RICHMOND HILLS",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-849-2900",
            "fax_number": "718-599-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180-05 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324727",
            "country_code": "US",
            "telephone_number": "929-299-4700",
            "fax_number": "718-943-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96-10 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113756625",
            "country_code": "US",
            "telephone_number": "718-459-0400",
            "fax_number": "718-670-6479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169-59 137th Ave",
            "address_purpose": "LOCATION",
            "city": "Rochdale",
            "state": "NY",
            "postal_code": "114344517",
            "country_code": "US",
            "telephone_number": "718-525-5600",
            "fax_number": "718-527-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHARRY",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "239745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.