Active NPI
Yakov Beim, D.P.M.
- Podiatrist
- South Ozone Park, NY
National Provider Identifier
1609971316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005573
- Practice address
- 13355 Lefferts Blvd
South Ozone Park, NY 11420 - Phone
- (347) 921-3668
- Fax
- (718) 738-3930
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N005573 | NY | Primary |
Addresses
Primary practice location
13355 Lefferts Blvd
South Ozone Park, NY 11420
Mailing address
13355 Lefferts Blvd
South Ozone Park, NY 11420-3131
Phone (347) 921-3668
Other practice location 1
131-24 Rockaway Boulevard
South Ozone Park, NY 11420
Phone (718) 659-7166
Other practice location 2
131-24 Rockaway Boulevard
South Ozone Park, NY 11420
Phone (718) 659-7166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02146610 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040315001435 | NY | Practitioner - Podiatry | 7517856503 | Practice locations: Brooklyn, NY; South Ozone Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13355 Lefferts Blvd
South Ozone Park, NY 11420-3131
Phone (347) 921-3668
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 31 |
| Removal of skin lesions | 39 |
| Removal of nail tissue | 260 |
| Removal or shaving of skin growth | 157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N005573 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coney Island Medical Services PC | Podiatrist | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1609971316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13355 LEFFERTS BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114203131",
"telephone_number": "347-921-3668",
"fax_number": "718-738-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13355 LEFFERTS BLVD",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "11420",
"telephone_number": "347-921-3668",
"fax_number": "718-738-3930"
}
],
"practiceLocations": [
{
"address_1": "131-24 Rockaway Boulevard",
"address_purpose": "LOCATION",
"city": "South Ozone Park",
"state": "NY",
"postal_code": "11420",
"country_code": "US",
"telephone_number": "718-659-7166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131-24 Rockaway Boulevard",
"address_purpose": "LOCATION",
"city": "South Ozone Park",
"state": "NY",
"postal_code": "11420",
"country_code": "US",
"telephone_number": "718-659-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEIM",
"first_name": "YAKOV",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N005573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02146610",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.