Beena G. Mahtani, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00762300 Issued in NJ

Practice address

35 Green Pond Rd Ste C
Rockaway, NJ 07866-2057

Phone

(973) 625-0600

Fax

(973) 625-3434

NPI assigned

Sep 15, 2017

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beena.mahtani.2@7628.direct.athenahealth.com

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.

• Dermatology Center of North Jersey

  • Specialist
  • Clifton, NJ
  • NPI 1326141110
  Medicare reassignment NPD
• New Jersey Dermatology and Aesthetics Center LLC

  • Dermatology Physician
  • Marlboro, NJ
  • NPI 1780178871
  Medicare reassignment NPD
• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392
  NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1609395193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD STE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662057",
            "telephone_number": "973-625-0600",
            "fax_number": "973-625-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD STE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662057",
            "telephone_number": "973-625-0600",
            "fax_number": "973-625-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "BEENA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00762300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #4794)
• Luxottica of America Inc. (LensCrafters #823)
• Luxottica of America Inc. (LensCrafters At Macy's #8530)
• Dana Lyden, APN
• Tara K Maher, LCSW
• Mark K Majewski, LSW, MSW
• Amy Perry Malatesta, LPC
• Jorge Mandanas Jr., PT
• Gregory Marcano Jr.
• Maria Falzo

• Family Nurse Practitioner in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.

Verify at the official NPI Registry.