Beth Israel Ambulatory Care Services Corp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7001269P Issued in NY

Legal business name

BETH ISRAEL AMBULATORY CARE SERVICES CORP

Practice address

3121 Kings Highway
Beth Israel Ambulatory Care Services Corp
Brooklyn, NY 11234-2644

Phone

(212) 256-3296

Fax

(212) 256-3595

NPI assigned

Dec 19, 2006

Last updated

Sep 9, 2015By 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

Mr. John Collura

Title

Executive Vice President & Cfo

Phone

(212) 636-8468

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1942363098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "24TH FLOOR ATTN: JILLIAN SUMPTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3296",
            "fax_number": "212-256-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 KINGS HIGHWAY",
            "address_2": "BETH ISRAEL AMBULATORY CARE SERVICES CORP",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "212-256-3296",
            "fax_number": "212-256-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL AMBULATORY CARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "COLLURA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "212-636-8468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001269P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "003611",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence Lauren Betesh, OTR/L
• Leslie Betesh, M.A.
• Maurice Betesh
• Yarona Betesh
• Beth Emeth Home Attendant Service, Inc.
• Beth Israel Medical
• Beth Israel Medical Center
• Beth Israel Medical Center
• Beth Israel Medical Center (Long Island College Hospital)
• Beth Kelly Autism & Associates

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.