Organization Active NPI

Allison J. Beitler, MD, PLLC

  • Rheumatology Physician
  • Bronx, NY
National Provider Identifier
1659388437
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ALLISON J. BEITLER, MD, PLLC
Practice address
1200 Waters PL
Suite M104
Bronx, NY 10461-2728
Phone
(718) 794-1600
Fax
(718) 794-1222
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Allison Jatlow Beitler, MD
Title
Owner
Phone
(718) 794-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X NY Primary

Addresses

Primary practice location

1200 Waters PL
Suite M104
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Suite M104
Bronx, NY 10461-2728
Phone (718) 794-1600

Other identifiers 1

IdentifierTypeStateIssuer
01497025MedicaidNY

National Provider Directory

National Provider Directory

Locations

34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659388437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-794-1600",
            "fax_number": "718-794-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-794-1600",
            "fax_number": "718-794-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON J. BEITLER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEITLER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "JATLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-794-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.