Beth Abraham Health Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

189917 Issued in NY

Legal business name

BETH ABRAHAM HEALTH SERVICES

Practice address

2401 White Plains Rd
Bronx, NY 10467-8108

Phone

(718) 515-8600

Fax

(718) 653-2078

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Doris Vallejo, MD

Title

Physician

Phone

(718) 515-8600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1700911377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "718-515-8600",
            "fax_number": "718-653-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "718-515-8600",
            "fax_number": "718-653-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ABRAHAM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-515-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "189917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "189917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suehelen Betancourt
• Yokasta Johanna Betancourt
• Hermilyn Anne Tamundong Betanio
• Melanie Betchen, MD
• Beth Abraham Health Services
• Beth Abraham Health Services
• Beth Abraham Health Services
• Bethabraham Hospital
• Kareen Bethea
• Tamar Crystal Bethea

• Exclusive Provider Organization in Bronx, NY
• Providers in Bronx, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.