Active NPI
Leo Beloyianis, DC
- Chiropractor
- Long Beach, NY
National Provider Identifier
1619035755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0030571
- Practice address
- 100 E Park Ave
Long Beach, NY 11561 - Phone
- (516) 889-4044
- Fax
- (516) 889-4053
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0030571 | NY | Primary |
Addresses
Primary practice location
100 E Park Ave
Long Beach, NY 11561
Mailing address
PO Box 1074
100 E Park Ave
Long Beach, NY 11561
Phone (516) 889-4044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C030579 | Other | WCOMP | |
| 0036712 | Other | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110303000365 | NY | Practitioner - Chiropractic | 8628250263 | Practice locations: Long Beach, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 E Park Ave
Long Beach, NY 11561-3510
Phone (516) 889-4044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0030571 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1619035755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1074",
"address_2": "100 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "516-889-4044",
"fax_number": "516-889-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E PARK AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "516-889-4044",
"fax_number": "516-889-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELOYIANIS",
"first_name": "LEO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0030571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WCOMP",
"identifier": "C030579",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0036712",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.