Individual provider Active NPI

Yakov Beim, D.P.M.

  • Podiatrist
  • South Ozone Park, NY
National Provider Identifier
1609971316
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005573 Issued in NY
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

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02146610MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions39
Removal of nail tissue260
Removal or shaving of skin growth157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005573NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.