Active NPI
Laura Grace Beitia, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 209380
- Practice address
- 1176 5TH Ave
New York, NY 10029-6503 - Phone
- (212) 241-6381
- Fax
- (212) 410-1973
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 209380 | NY | Primary |
Addresses
Primary practice location
1176 5TH Ave
New York, NY 10029-6503
Mailing address
1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-6381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02246519 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20080324000226 | NY | Practitioner - Diagnostic Radiology | 6204912884 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fpa Hospital BasedNorth Shore Medical Group of the Mount Sinai School of MedicineIcahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395
100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500
1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426
1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426
1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395
120 New York Ave
Huntington, NY 11743-2743
Phone (631) 659-4400
1441 S Ave
Staten Island, NY 10314-3779
Phone (718) 987-9777
1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426
2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390
2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230
3131 Kings Hwy
FL 1
Brooklyn, NY 11234-2644
Phone (718) 951-2930
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000
325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009
3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600
425 W 59TH St
New York, NY 10019-8022
Phone (212) 241-8333
5 E 98TH St
New York, NY 10029-6501
Hospital & facility affiliations
- Mount Sinai Hospital
- Mount Sinai West
- Mount Sinai Beth Israel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (11 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Diagnostic Radiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Mount Sinai School of Medicine of New York University | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Mount Sinai School of Medicine of New York University | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Diagnostic Radiology | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
17E E 102nd St
#6D
New York, NY 10029
Phone (212) 241-6381
1184 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381
1176 5th Ave
#1235
New York, NY 10029
Phone (212) 241-6381
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309
11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565
1441 South Ave
Staten Island, NY 10314
Phone (332) 243-6900
1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 11
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.
-
- Hematology & Oncology Physician
- Staten Island, NY
- NPI 1457867707
Diagnostic Radiology, NY
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Diagnostic Radiology, NY
-
- Internal Medicine Physician
- Scarsdale, NY
- NPI 1023334927
NY
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1861900888
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1780787796
Diagnostic Radiology
-
- Orthopaedic Surgery Physician
- Yonkers, NY
- NPI 1336878651
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
-
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1841290905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-6381",
"fax_number": "212-410-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-6381",
"fax_number": "212-410-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEITIA",
"first_name": "LAURA",
"middle_name": "GRACE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "209380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02246519",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.