John Angelo Beallias, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059250 Issued in NY

Practice address

1700 Grand Ave
North Baldwin, NY 11510-1801

Phone

(516) 379-3204

NPI assigned

May 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Baldwin Dental Arts PLLC

  • Dentist
  • North Baldwin, NY
  • NPI 1427419563
  NPD (past)
• South Shore Aesthetic Dentistry

  • Dentist
  • Massapequa Park, NY
  • NPI 1710293907
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1831545243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 BELCHER ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103937",
            "telephone_number": "516-445-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101801",
            "telephone_number": "516-379-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALLIAS",
        "first_name": "JOHN",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Katarina Balay
• Baldwin Dental Arts PLLC
• Baldwin Pharmacy LLC
• Baldwin Pharmacy LLC
• Baldwin Wellness Acupuncture, PC
• Marie Ginette Belotte
• Michele D Bernard
• Marie Bernier
• Wendell Bernier
• Steven Bernstein, L.AC.

• General Practice Dentistry in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.