Active NPI
Russell N Beckhardt, M.D.
- Otolaryngology Physician
- Astoria, NY
National Provider Identifier
1770541120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 179767
- Practice address
- 3119 Newtown Ave
Suite 201
Astoria, NY 11102-1350 - Phone
- (718) 971-2489
- Fax
- (718) 971-2489
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 179767 | NY | Primary |
Addresses
Primary practice location
3119 Newtown Ave
Suite 201
Astoria, NY 11102-1350
Mailing address
660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546
Other practice location 1
990 Stewart Ave Ste 610
Garden City, NY 11530-4838
Phone (516) 222-1881
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080417000287 | NY | Practitioner - Otolaryngology | 1355429259 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Icahn School of Medicine at Mount Sinai, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy Associates LLP
Practice addresses (Care Compare)
1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588
990 Stewart Ave
Suite 610
Garden City, NY 11530-4838
Phone (516) 222-1881
Hospital & facility affiliations
- Mercy Medical Center
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Pennsylvania PLLC | Otolaryngology | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- russell.beckhardt@direct.entandallergy.nextgenshare.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Willow Grove, PA
- NPI 1548098759
Otolaryngology
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1770541120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL 4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE",
"address_2": "SUITE 201",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021350",
"telephone_number": "718-971-2489",
"fax_number": "718-971-2489"
}
],
"practiceLocations": [
{
"address_1": "990 Stewart Ave Ste 610",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115304838",
"country_code": "US",
"telephone_number": "516-222-1881",
"fax_number": "516-222-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKHARDT",
"first_name": "RUSSELL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "179767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.