Individual provider Active NPI

Lauren Allegra Beslow, MD, MSCE

  • Neurology with Special Qualifications in Child Neurology Physician
  • New Haven, CT
National Provider Identifier
1912062209
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD426768 Issued in PA
Practice address
300 Cedar St
Section of Neurology,Yale University School of Medicine
New Haven, CT 06519-1612
Phone
(203) 785-4641
NPI assigned
Dec 27, 2006
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MT181874 PA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD426768 PA Primary

Addresses

Primary practice location

300 Cedar St
Section of Neurology,Yale University School of Medicine
New Haven, CT 06519-1612

Mailing address

P.O. Box 208064
Section of Neurology,Yale University School of Medicine
New Haven, CT 06520
Phone (203) 785-4641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110104001036 PA Practitioner - Pediatric MedicinePractitioner - Neurology 4981893138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Stanford University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT181874PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates, Inc Neurology CurrentSince Apr 1, 2016 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Apr 1, 2016 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3500 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-2169

Interoperability endpoints

  • Direct secure messaging: lbeslow266042@direct-lghealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1912062209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 208064",
            "address_2": "SECTION OF NEUROLOGY,YALE UNIVERSITY SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06520",
            "telephone_number": "203-785-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST",
            "address_2": "SECTION OF NEUROLOGY,YALE UNIVERSITY SCHOOL OF MEDICINE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191612",
            "telephone_number": "203-785-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESLOW",
        "first_name": "LAUREN",
        "middle_name": "ALLEGRA",
        "credential": "MD, MSCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MT181874",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD426768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.