Mordechai Beityakov, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

203771 Issued in NY

Practice address

1455 E 24TH St
Brooklyn, NY 11210-5144

Phone

(718) 376-7894

Fax

(718) 645-3952

NPI assigned

Sep 19, 2005

Last updated

Dec 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nejatouah Bentyaghoub Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGIDAA/Endpoint/EGIDAA
• Direct secure messaging: mordechaibeityakov@mai.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1780679530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105144",
            "telephone_number": "718-376-7894",
            "fax_number": "718-645-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105144",
            "telephone_number": "718-376-7894",
            "fax_number": "718-645-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITYAKOV",
        "first_name": "MORDECHAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "203771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEJATOUAH",
            "last_name": "BENTYAGHOUB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lilith Beitchman, LMT
• Anna M Beitin, M.D.
• Sheba Beitler, DMD
• Yonit Avital Beitscher, MS OTR/L
• Devorah Beityakov, OT
• Madeleine Beitz, LMSW
• Natasha Elizabeth Bejai, LMSW
• Andrea Denisse Bejarano
• Samuel Bekar, M.D.
• Aliya Bekbolatova, NP-C

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; 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.