Bethany Medical Clinic of New York, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

262706-1 Issued in NY

Legal business name

BETHANY MEDICAL CLINIC OF NEW YORK, PLLC

Practice address

222 E 31St St
Suite 1R
New York, NY 10016-6333

Phone

(646) 509-0943

NPI assigned

Nov 30, 2011

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirin Peters, M.D.NPI 1588960389

Title

Owner

Phone

(336) 880-5915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirin Peters, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1588960389
  Medicare reassignment Care Compare group NPD Authorized official
• Recaredo Trinidad Berbano, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
  • NPI 1942275748
  Medicare reassignment Care Compare group NPD
• Alison Dawn Silver

  • Mental Health Counselor
  • White Plains, NY
  • NPI 1073869095
  Medicare reassignment Care Compare group NPD
• Christine Fang, PA

  • Physician Assistant
  • New York, NY
  • NPI 1700546637
  Medicare reassignment Care Compare group
• Jasmine Ham, NP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1255104980
  Medicare reassignment NPD
• Asra Hussain, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1134567563

  Internal Medicine

  Medicare reassignment NPD
• Aisha Khayyam, MD

  • Adult Medicine Physician
  • New York, NY
  • NPI 1134913098
  Medicare reassignment NPD
• Zobidatte Moussa

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1912066101
  Medicare reassignment NPD
• Alison Margaret Whelan, FNP-C

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1073368601
  Medicare reassignment NPD
• Mukund Madhaw Das, MD

  • Internal Medicine Physician
  • Bergenfield, NJ
  • NPI 1831552397

  NY

  Medicare reassignment NPD
• Linda Miller

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1124101878

  NY

  Medicare reassignment NPD
• Asmi Sanghvi, DO

  • Dermatology Physician
  • Drexel Hill, PA
  • NPI 1417310152

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1902173313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 31ST ST",
            "address_2": "SUITE 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166333",
            "telephone_number": "646-509-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 31ST ST",
            "address_2": "SUITE 1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166333",
            "telephone_number": "646-509-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY MEDICAL CLINIC OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-880-5915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262706-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Isreal Medical Center Ny
• Beth Izreal Medical Center
• Raviteja Bethamcharla, MD
• Casidhe-Nicole Ramirez Bethancourt, MD
• Bethany Medical Clinic
• Ashley Jayda Bethea, LMHC
• Donnie Bethea Jr.
• Jason William Bethea Sr., LMT
• Kimora Ebonee Bethea, LPN
• Lynquita Bethea, RN

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.