Individual provider Active NPI

Mina Beshai, DPM

  • Foot Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1972035137
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N007055 Issued in NY
Practice address
970 Bard Ave
Staten Island, NY 10301-3322
Phone
(718) 717-8033
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00354600 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Foot Surgery Podiatrist 213ES0131X N007055 NY Primary

Addresses

Primary practice location

970 Bard Ave
Staten Island, NY 10301-3322

Mailing address

42 Susanna LN
Staten Island, NY 10312-1345

Other practice location 1

42 Susanna Ln
Staten Island, NY 10312-1345
Phone (718) 300-5546

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000547 NY Practitioner - Podiatry 6507279692 Reassigns benefits to 3 organizations
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaview Podiatry P.C.Group PAC ID 9133445018, 4 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

314 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 720-6866

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00354600NJMDFoot & Ankle Surgery Podiatrist
N007055NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Podiatry P.C. Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Seaview Podiatry P.C. CurrentSince Jan 1, 2021 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Apr 1, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince May 18, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 18, 2021 Accepting new patients

Locations

1411 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 907-4301

1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: stmarysfootandanklecenter.minabeshai@148292.advancedmd-direct.com
  • Direct secure messaging: mbeshai67236@northwell.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1972035137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUSANNA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013322",
            "telephone_number": "718-717-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Susanna Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103121345",
            "country_code": "US",
            "telephone_number": "718-300-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESHAI",
        "first_name": "MINA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-01-24",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00354600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N007055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.