Active NPI
Javier L Beltran, MD
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1962402727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 185787
- Practice address
- 150 Nassau Street
Apt 18a
New York, NY 10038-1547 - Phone
- (216) 255-5700
- Fax
- (216) 255-5701
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 185787 | NY | Primary |
Addresses
Primary practice location
150 Nassau Street
Apt 18a
New York, NY 10038-1547
Mailing address
23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845
Phone (216) 255-5700
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0543255 | Medicaid | OH | |
| 10025230100 | Medicaid | NE | |
| 01272935 | Medicaid | NY | |
| 341958451012 | Other | OH | MEDICAL MUTUAL |
| P00163855 | Other | NY | RXR MEDICARE |
| 34195845111518 | Other | TRICARE WEST | |
| 7713860 | Medicaid | SD | |
| 806974600 | Medicaid | ID | |
| 12749901 | Medicaid | AZ | |
| 735S11 | Other | NY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185787 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Sheridan Radiology Services of West Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Montana Interventional and Diagnostic Radiology Specialists, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Franklin & Seidelmann Medical Corp | Diagnostic Radiology | Past | Accepting new patients |
| Osu Health System-Hospital at Home | Past | Accepting new patients | |
| Open Advanced MRI of Portland, LLC | Diagnostic Radiology | Past | Accepting new patients |
| R S & J Imaging, Inc | Past | Accepting new patients | |
| Helena Imaging, LLC | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Interoperability endpoints
- javierbeltran@mai.allscriptsdirect.net
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Diagnostic Radiology Physician
- Beachwood, OH
- NPI 1598791873
-
- Radiology Clinic/Center
- Helena, MT
- NPI 1609133792
-
- Diagnostic Radiology Physician
- Helena, MT
- NPI 1356397343
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1861447450
-
- Family Medicine Physician
- Columbus, OH
- NPI 1528025657
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Willoughby, OH
- NPI 1477744225
-
- Diagnostic Radiology Physician
- Zephyrhills, FL
- NPI 1235674904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1962402727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23625 COMMERCE PARK",
"address_2": "SUITE 204",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225845",
"telephone_number": "216-255-5700",
"fax_number": "216-255-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NASSAU STREET",
"address_2": "APT 18A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381547",
"telephone_number": "216-255-5700",
"fax_number": "216-255-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTRAN",
"first_name": "JAVIER",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "185787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0543255",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025230100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01272935",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "341958451012",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RXR MEDICARE",
"identifier": "P00163855",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "34195845111518",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7713860",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806974600",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12749901",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "735S11",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.