Individual provider Active NPI

Sally Beshai

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1902169766
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006708 Issued in NY
Practice address
314 Seaview Ave
Staten Island, NY 10305-2246
Phone
(718) 668-3417
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006708 NY Primary

Addresses

Primary practice location

314 Seaview Ave
Staten Island, NY 10305-2246

Mailing address

970 Bard Ave
Staten Island, NY 10301-3322
Phone (718) 720-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151207002671 NY Practitioner - Podiatry 6406156827 Reassigns benefits to 3 organizations
I20241204001607 NJ Practitioner - Podiatry 6406156827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbip Podiatry PCGroup PAC ID 6901278811, 3 clinicians
Seaview Podiatry P.C.Group PAC ID 9133445018, 4 clinicians

Practice addresses (Care Compare)

1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone (718) 317-5215

2143 S Branch Rd
Branchburg, NJ 08876-3929
Phone (718) 720-6866

314 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 720-6866

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue31
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006708NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mbip Podiatry P.C. Foot & Ankle Surgery CurrentSince Dec 25, 2023 Accepting new patients
Seaview Podiatry P.C. CurrentSince Oct 5, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 2, 2021 Accepting new patients
Seaview Podiatry P.C. Foot & Ankle Surgery CurrentSince Oct 5, 2015 Accepting new patients

Locations

2143 S Branch Rd
Branchburg, NJ 08876
Phone (718) 720-6866

300 Community Dr
Plandome, NY 11030

314 Seaview Ave
Staten Island, NY 10305
Phone (718) 668-3417

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1042 Huguenot Ave
Staten Island, NY 10312
Phone (718) 317-5215

1497 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-0500

Interoperability endpoints

  • Direct secure messaging: stmarysfootandanklecenter.sallybeshai@148292.advancedmd-direct.com
  • Direct secure messaging: sbeshai69115@northwell.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1902169766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013322",
            "telephone_number": "718-720-6866",
            "fax_number": "718-720-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-668-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHAI",
        "first_name": "SALLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.