Individual provider Active NPI

Jessica Niakan Beyda, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bronx, NY
National Provider Identifier
1811232846
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
269064-1 Issued in NY
Practice address
111 E 210TH St
Bronx, NY 10467-2401
Phone
(718) 920-6573
NPI assigned
Dec 3, 2012
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 269064-1 NY Primary

Addresses

Primary practice location

111 E 210TH St
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001538 NY Practitioner - Pathology 5991008179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology and Laboratory Consultants of Long Island PLLCGroup PAC ID 0244222115, 20 clinicians
Precision Digestive Care, PCGroup PAC ID 5092077990, 2 clinicians
Daniel S Reich MD Gastroenterology PLLCGroup PAC ID 2668615212, 2 clinicians
David Beyda MD PLLCGroup PAC ID 6608366869, 2 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
St Francis Hospital
Roslyn, NY 11576-1347
Phone (516) 562-6410

13 Central St
Huntington, NY 11743-2680
Phone (631) 350-6077

220 15 Union Turnpike
Oakland Gardens, NY 11364-3531
Phone (718) 544-0224

5516 Main St
Suite 1B
Flushing, NY 11355-5098
Phone (718) 461-6161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269064-1NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology and Laboratory Consultants of Long Island, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 25, 2018 Accepting new patients
Precision Digestive Care, PC CurrentSince Feb 1, 2022 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology CurrentSince Nov 9, 2015 Accepting new patients
Delta Anesthesia PC CurrentSince Jul 1, 2022 Accepting new patients
David Beyda MD PLLC CurrentSince Oct 1, 2025 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Nov 9, 2015 Accepting new patients
Daniel S Reich MD Gastroenterology PLLC CurrentSince Jan 8, 2024 Accepting new patients
Fpa Hospital Based Anatomic Pathology & Clinical Pathology Current Accepting new patients
Mount Sinai School of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

6390 Fly Rd
East Syracuse, NY 13057

5516 Main St
Ste 1B
Flushing, NY 11355
Phone (718) 321-1995

6960 108th St
Ste 107
Forest Hills, NY 11375
Phone (718) 544-0442

205 E Main St
Ste 1-4
Huntington, NY 11743
Phone (631) 350-6077

1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17365/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1811232846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYDA",
        "first_name": "JESSICA",
        "middle_name": "NIAKAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "269064-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.