Active NPI
Gregory Beckos, ANP
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1922552447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307784
- Practice address
- 901 Classon Ave
Brooklyn, NY 11225-1006 - Phone
- (718) 636-4900
- NPI assigned
- Aug 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 628243 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 307784 | NY | Primary |
Addresses
Primary practice location
901 Classon Ave
Brooklyn, NY 11225-1006
Mailing address
901 Classon Ave
Brooklyn, NY 11225-1006
Phone (718) 636-4900
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180417001374 | NY | Practitioner - Nurse Practitioner | 4981967338 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11620 Queens Blvd
Forest Hills, NY 11375-7055
11622 Queens Blvd
Forest Hills, NY 11375-7055
Phone (718) 793-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628243 | NY | MD | Medical-Surgical Registered Nurse |
| 307784 | NY | MD | Family Medicine Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Heart PLLC | Current | Accepting new patients |
Locations
325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEFCAA
Organizations & group practices 2
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Forest Hills, NY
- NPI 1518479898
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1922552447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CLASSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251006",
"telephone_number": "718-636-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CLASSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251006",
"telephone_number": "718-636-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKOS",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "628243",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.